BEUDAMED
    FDA Adverse Event Injury Summary report: N

    ANGULATED ANTERIOR CANNULA

    MDR report key: 15171 · Received August 10, 1994

    Report

    Report Number
    MW1003060
    Event Type
    Injury
    Date Received
    August 10, 1994
    Date of Event
    November 4, 1993
    Report Date
    July 11, 1994
    Manufacturer
    GRIESHABER & CO.
    Product Code
    HMX
    Report Source
    Voluntary report
    Reporter Location
    CA, US
    Reporter Occupation
    BIOMEDICAL ENGINEER

    Narratives

    Description of Event or Problem · 1

    THE ANGLED ANTERIOR INFUSION CANNULA BROKE INTO TWO PIECES AT THE JUNCTION WHEN IT WAS BEING REMOVED FROM THE EYE. TIP OF THE CANNULA WAS RETRIEVED FROM THE PT'S EYE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 ANGULATED ANTERIOR CANNULA ANGULATED ANTERIOR CANNULA HMX GRIESHABER & CO.

    Patients

    Seq Age Sex Outcome Treatment
    1 74 YR Required Intervention