FDA Adverse Event
Injury
Summary report: N
ALCON GFI TUBING
MDR report key: 16416
·
Received June 17, 1994
Report
- Report Number
- 16416
- Event Type
- Injury
- Date Received
- June 17, 1994
- Date of Event
- June 8, 1994
- Report Date
- June 17, 1994
- Manufacturer
- ALCON LABORATORIES
- Product Code
- KYG
- Adverse Event
- Yes
- Product Problem
- Yes
- Report Source
- User Facility report
- Reporter Location
- SC, US
- Reporter Occupation
- NURSE
Narratives
Description of Event or Problem · 1
GRAVITY FLOW IRRIGATION (GFI) TUBING BLOW-OUT AT FILTER/SPIKE JUNCTION. BSS PLUS WAS DRIPPING ON FLOOR AND AIR ENTERED EYE. PHYSICIAN IS CONCERNED ABOUT POSSIBLE DAMAGE.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | ALCON GFI TUBING | GRAVITY FLOW IRRIGATION TUBING | KYG | ALCON LABORATORIES | 92419 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 68 YR | Hospitalization| R |