FDA Adverse Event
Injury
Summary report: N
VERISYSE MYOPIA
MDR report key: 13052015
·
Received December 21, 2021
Report
- Report Number
- 8040449-2021-00004
- Event Type
- Injury
- Date Received
- December 21, 2021
- Report Date
- December 15, 2021
- Manufacturer
- OPHTEC BV
- Product Code
- MTA
- PMA / PMN Number
- P030028
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- NJ, US
- Reporter Occupation
- 501
Narratives
Description of Event or Problem · 0
PATIENT'S IOL WAS EXPLANTED, SINCE IT WAS CAUSING THE RIGHT EYE'S CELL CONE TO DIMINISH. IOL INFORMATION: VERISYSE MYOPIA IOL 6/8.5, DIOPTER -6.0, SERIAL NUMBER (B)(4).
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1948190 | VERISYSE MYOPIA | VERISYSE | MTA | OPHTEC BV | VRSM6 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | Unknown | Required Intervention |