BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    CRYSTALENS

    MDR report key: 1182324 · Received September 29, 2008

    Report

    Report Number
    2031924-2008-00292
    Event Type
    Malfunction
    Date Received
    September 29, 2008
    Date of Event
    September 2, 2008
    Report Date
    September 3, 2008
    Manufacturer
    BAUSCH & LOMB SURGICAL
    Product Code
    HQL
    PMA / PMN Number
    P030002
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    MD, US
    Reporter Occupation
    PHYSICIAN

    Narratives

    Additional Manufacturer Narrative · 1

    THE DEVICE HISTORY RECORDS WERE REVIEWED, AND THERE WERE NO DISCREPANCIES OR UNUSUAL FINDINGS.

    Description of Event or Problem · 1

    THE CUSTOMER REPORTS THAT THE CRYSTALENS HAPTIC WAS BENT PRIOR TO HANDLING. NO PT CONTACT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 CRYSTALENS INTRAOCULAR LENS HQL BAUSCH & LOMB SURGICAL AT52SE 014607

    Patients

    Seq Age Sex Outcome Treatment
    1