MAUDE MDR 274147

MDR report key
274147
Report number
1038548-2000-00007
Event key
0
Event type
3
Date received
2000-04-14
Adverse event
3
Product problem
3
Patients in event
0
Reporter occupation
0
Health professional
3
Initial report to FDA
3
Event location
0

Manufacturer Contact#

Contact
LEIGH GAYLE, SPECIALIST
Address
5175 S. ROYAL ATLANTA DR TUCKER GA 30084 US
Phone
770-770-7707
Report source
M
Manufacturer link flag
Y

Devices#

Seq, Brand, Generic table
SeqBrandGenericManufacturerProduct codeModelCatalogLotPMA510(k)ImplantEvaluatedAvailability
1METZENBAUM SCISSOR TIPSELECTROSURGICAL DEVICEGENZYME SURGICAL PRODUCTSKNSNA89-5100UNKK930666NYN

Patients#

Sequence, Received, Treatment table
SequenceReceivedTreatmentOutcome
12000-04-1401. O

Event Narratives#

D

Patient 1

WHILE BEING USED DURING A LAPAROSCOPIC PROCEDURE, THE CONNECTION BETWEEN THE DISPOSABLE SCISSOR TIP AND THE REUSEABLE SHAFT WAS OBSERVED TO BE SMOKING. THE COATING ON THE SCISSORS WAS HOT AND COAGULATING TISSUE.