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 |