FDA Adverse Event
Malfunction
Summary report: N
SERIES TWENTY THOUSAND LEGACY
MDR report key: 158841
·
Received March 18, 1998
Report
- Report Number
- 2028159-1998-00073
- Event Type
- Malfunction
- Date Received
- March 18, 1998
- Date of Event
- January 27, 1998
- Report Date
- February 18, 1998
- Manufacturer
- ALCON LABORATORIES, INC.
- Product Code
- HQE
- Removal / Correction Number
- NA
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- MI, US
- Reporter Occupation
- PHYSICIAN
Narratives
Description of Event or Problem · 1
REPORTER NOTED METAL PARTICLE ON IRIS DURING POST-OP SLIT LAMP EXAMINATION. EYE IS QUIET, NO INFLAMMAION. NO INTERVENTION PLANNED.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | SERIES TWENTY THOUSAND LEGACY | OPHTHALMIC SURGERY SYSTEM | HQE | ALCON LABORATORIES, INC. | STTL | NA |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 63 YR |