BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    MST TRABECTOME

    MDR report key: 12322031 · Received August 13, 2021

    Report

    Report Number
    3019924-2021-00002
    Event Type
    Malfunction
    Date Received
    August 13, 2021
    Date of Event
    June 24, 2021
    Report Date
    August 6, 2021
    Product Code
    HQR
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    CT, US
    Reporter Occupation
    NURSE

    Narratives

    Description of Event or Problem · 1

    THE HANDPIECE WAS LEAKING SEEMS TO HAVE A HOLE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1216321 MST TRABECTOME APPARATUS, CAUTERY, RADIOFREQUENCY, AC-POWERED HQR 600018-04 124320

    Patients

    Seq Age Sex Outcome Treatment
    1