BEUDAMED
    FDA Adverse Event Injury Summary report: N

    1218813-1998-00001

    MDR report key: 175337 · Received July 2, 1998

    Report

    Report Number
    1218813-1998-00001
    Event Type
    Injury
    Date Received
    July 2, 1998
    Date of Event
    February 14, 1998
    Report Date
    June 24, 1998
    Product Code
    HQJ
    Removal / Correction Number
    1013935
    Report Source
    Manufacturer report

    Narratives

    Description of Event or Problem · 1

    COMPLICATIONS FROM MIRAGEL SPONGE LEFT EYE EXTRUDING SCLERAL BUCKLE (MIRAGEL) LEFT EYE W/PAIN, REMOVED MIRAGEL.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 Implant HQJ 906 UNK

    Patients

    Seq Age Sex Outcome Treatment
    1 Hospitalization