CURVED NASAL SCISSORS

MAUDE Adverse Event Report

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.

Event Text Entries

[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


MAUDE Entry Details

Report NumberMW5074753
MDR Report Key7214853
Date Received2018-01-23
Date of Report2018-01-22
Date of Event2015-12-07
Date Added to Maude2018-01-24
Event Key0
Report Source CodeVoluntary report
Manufacturer LinkN
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Reporter OccupationPATIENT
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Single Use3
Previous Use Code3
Event Type3
Type of Report0

Device Details

Brand NameCURVED NASAL SCISSORS
Generic NameNASAL SCISSORS
Product CodeKBD
Date Received2018-01-23
OperatorHEALTH PROFESSIONAL
Device AvailabilityN
Device Eval'ed by MfgrI
Device Sequence No1
Device Event Key0
ManufacturerRICHARD WOLF MEDICAL


Patients

Patient NumberTreatmentOutcomeDate
101. Hospitalization; 2. Deathisabilit 2018-01-23

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