FDA Adverse Event Injury Summary report: N

LENSAR LASER SYSTEM-FS 3D

MDR report key: 14843886 · Received June 28, 2022

Report

Report Number
3009026057-2019-00003
Event Type
Injury
Date Received
June 28, 2022
Date of Event
February 6, 2019
Report Date
March 5, 2019
Manufacturer
LENSAR, INC
Product Code
OOE
PMA / PMN Number
K182795
Removal / Correction Number
N/A
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
FL, US
Reporter Occupation
PHYSICIAN
Health Professional
Yes

Narratives

Description of Event or Problem · 0

ON (B)(6) 2019 A USER REPORTED THAT THERE WAS A PERFORATED CORNEAL INCISION THAT THEY HAD TO SUTURE. SUTURE APPLIED TO THE INCISION.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
909916 LENSAR LASER SYSTEM-FS 3D LENSAR LASER SYSTEM-FS 3D OOE LENSAR, INC N/A N/A

Patients

Seq Age Sex Outcome Treatment
1 Unknown Other