MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2018-01-23 for CURVED NASAL SCISSORS manufactured by Richard Wolf Medical.
[98235127]
On (b)(6) 2015, i was admitted to (b)(6) for outpatient csf repair exploratory surgery. An hour or so into surgery, the surgeon went to make a skin path from nasal lining on the right side of my nose. It was at this time the tips of the scissors broke off and fell. After x-raying my stomach, chest / lungs, the surgeon found them lodged behind the adenoid. The retrieval was quite difficult and resulted in a partial adenoidectomy, a week long hospitalization, including three days in icu, as well as current health suffrage.
Patient Sequence No: 1, Text Type: D, B5
Report Number | MW5074753 |
MDR Report Key | 7214853 |
Date Received | 2018-01-23 |
Date of Report | 2018-01-22 |
Date of Event | 2015-12-07 |
Date Added to Maude | 2018-01-24 |
Event Key | 0 |
Report Source Code | Voluntary report |
Manufacturer Link | N |
Number of Patients in Event | 0 |
Adverse Event Flag | 3 |
Product Problem Flag | 3 |
Reprocessed and Reused Flag | 3 |
Reporter Occupation | PATIENT |
Health Professional | 3 |
Initial Report to FDA | 3 |
Report to FDA | 3 |
Event Location | 3 |
Single Use | 3 |
Previous Use Code | 3 |
Event Type | 3 |
Type of Report | 0 |
Brand Name | CURVED NASAL SCISSORS |
Generic Name | NASAL SCISSORS |
Product Code | KBD |
Date Received | 2018-01-23 |
Operator | HEALTH PROFESSIONAL |
Device Availability | N |
Device Eval'ed by Mfgr | I |
Device Sequence No | 1 |
Device Event Key | 0 |
Manufacturer | RICHARD WOLF MEDICAL |
Patient Number | Treatment | Outcome | Date |
---|---|---|---|
1 | 0 | 1. Hospitalization; 2. Deathisabilit | 2018-01-23 |