inforMED
MalfunctionHNJ

PUNCH D9.00MM

Received Apr 9, 2015 · Event occurred Apr 8, 2015

Report MW5042079 · MDR key 4692492

Device

Generic name

Punch D9.00mm

Manufacturer

Moria

Model number

PUNCH D9.00MM

Catalog number

17200D900

Lot number

1141905

Product problems

  • Device Operates Differently Than Expected

Patient

37 YR

  • No Patient Involvement

Narrative

Description of Event or Problem

PATIENT WAS HAVING A PENETRATING KERATOPLASTY PROCEDURE DONE. THE DONOR CORNEA WAS BEING PREPARED ON THE BACK TABLE. THE SURGEON AND SCRUB TECH WERE USING THE MORIA PUNCH D9.00MM, (B)(4), LOT 1141905 TO CUT THE CORNEA. AFTER CUTTING THE CORNEA, THE SYRINGE ON THE PUNCH WAS PUSHED AND THE CORNEA FLEW OFF OF THE DONOR PUNCH. THE SURGEON, SCRUB TECH, CIRCULATOR AND CRNA ALL TRIED TO LOCATE THE CORNEA BUT WERE UNABLE TO FIND IT. NO INCISION ON THE PATIENT WAS MADE. NO ADVERSE AFFECT TO PATIENT. THE CASE WAS CANCELLED BY SURGEON.