BEUDAMED
    FDA Adverse Event Other Summary report: N

    LEXUA 60 YAG LASER

    MDR report key: 18110 · Received December 1, 1994

    Report

    Report Number
    MW1004234
    Event Type
    Other
    Date Received
    December 1, 1994
    Date of Event
    November 15, 1994
    Report Date
    November 21, 1994
    Manufacturer
    LASER MAX SERVICES, INC.
    Product Code
    GEX
    Adverse Event
    Yes
    Report Source
    Voluntary report
    Reporter Location
    TN, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    THREE-EIGHTHS INCH OF LASER TIP BROKE OFF IN PELVIS-COULD NOT BE LOCATED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 LEXUA 60 YAG LASER GEX LASER MAX SERVICES, INC. LOL9101

    Patients

    Seq Age Sex Outcome Treatment
    1 22 YR Other