BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    ALCON LABORATORIES

    MDR report key: 1755826 · Received July 9, 2010

    Report

    Report Number
    MW5016655
    Event Type
    Malfunction
    Date Received
    July 9, 2010
    Date of Event
    June 30, 2010
    Report Date
    June 30, 2010
    Manufacturer
    ALCON LABS INC.
    Product Code
    HQL
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    NJ, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    ALCON LENS INSERTED - ONLY ONE HAPTIC ON LENS. LENS REMOVED, SECOND LENS INSERTED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 ALCON LABORATORIES LENS HQL ALCON LABS INC. SN60WF

    Patients

    Seq Age Sex Outcome Treatment
    1 84 YR