BEUDAMED
    FDA Adverse Event Other Summary report: N

    LABTICIAN

    MDR report key: 108650 · Received June 26, 1997

    Report

    Report Number
    MW4001964
    Event Type
    Other
    Date Received
    June 26, 1997
    Date of Event
    May 31, 1997
    Report Date
    June 24, 1997
    Manufacturer
    LABTICIAN OPHTHALMICS
    Product Code
    HQJ
    Report Source
    Voluntary report
    Reporter Location
    AZ, US
    Reporter Occupation
    NURSE

    Narratives

    Description of Event or Problem · 1

    DR REPORTED INFECTION TO SURGERY MANAGER. SURGERY 5/31 REPAIR OF SCLERAL BUCKLING LT EYE. 6/22 POST OP INFECTION REPORTED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 LABTICIAN Implant SILICONE TIRE 276 HQJ LABTICIAN OPHTHALMICS S 2999 13476

    Patients

    Seq Age Sex Outcome Treatment
    1 63 YR Other