Brand Name | PACKER/CHANG IOL CUTTER |
Type of Device | OPHTHALMIC SCISSORE |
Manufacturer (Section D) |
MICROSURGICAL TECHNOLOGY, INC. |
redmond WA |
|
Manufacturer Contact |
|
8415 154th ave se |
redmond, WA 98052
|
4255560544
|
|
MDR Report Key | 4268537 |
MDR Text Key | 5297294 |
Report Number | 3019924-2014-00049 |
Device Sequence Number | 1 |
Product Code |
HNF
|
Combination Product (y/n) | N |
Reporter Country Code | BR |
Number of Events Reported | 1 |
Summary Report (Y/N) | N |
Report Source |
Manufacturer
|
Source Type |
Health Professional |
Reporter Occupation |
Physician
|
Remedial Action |
Replace |
Type of Report
| Initial |
Report Date |
10/30/2014 |
1 Device was Involved in the Event |
|
1 Patient was Involved in the Event |
|
Is this an Adverse Event Report? |
No
|
Is this a Product Problem Report? |
Yes
|
Device Operator |
Health Professional
|
Device Model Number | DFH-0012 |
Device Catalogue Number | DFH-0012 |
Device Lot Number | 043408 |
Was Device Available for Evaluation? |
Yes
|
Date Returned to Manufacturer | 10/23/2014 |
Is the Reporter a Health Professional? |
Yes
|
Initial Date Manufacturer Received |
10/20/2014
|
Initial Date FDA Received | 11/04/2014 |
Was Device Evaluated by Manufacturer? |
Yes
|
Date Device Manufactured | 10/01/2011 |
Is the Device Single Use? |
No
|
Is This a Reprocessed and Reused Single-Use Device? |
No
|
Type of Device Usage |
Reuse
|
Patient Sequence Number | 1 |
|
|