MAUDE MDR 67197

MDR report key
67197
Report number
1932180-1997-00021
Event key
0
Event type
3
Date of event
1997-01-23
Date received
1997-02-04
Adverse event
3
Product problem
3
Patients in event
0
Reporter occupation
2
Health professional
3
Initial report to FDA
3
Event location
3

Manufacturer Contact#

Report source
M
Manufacturer link flag
Y

Devices#

Seq, Brand, Generic table
SeqBrandGenericManufacturerProduct codeModelCatalogLotPMA510(k)ImplantEvaluatedAvailability
1NICHAMIN DOUBLE ENDED NUCLEUS CHOPPER-SPATULACHOPPER/SPATULASTORZ INSTRUMENT COHNDNAE0570 NNANYY

Patients#

Sequence, Received, Treatment table
SequenceReceivedTreatmentOutcome
11997-02-040

Event Narratives#

D

Patient 1

THE TIP INSTRUMENT BROKE OFF IN THE PT'S EYE DURING A CATARACT EXTRACTION PROCEDURE. THE BROKEN PIECE WAS ASPIRATED USING PHACOEMULSIFICATION HANDPIECE.