BEUDAMED
    FDA Adverse Event Other Summary report: N

    ALLERGAN

    MDR report key: 182614 · Received August 13, 1998

    Report

    Report Number
    MW1014395
    Event Type
    Other
    Date Received
    August 13, 1998
    Date of Event
    August 6, 1998
    Report Date
    August 13, 1998
    Manufacturer
    ALLERGAN MEDICAL OPTICS
    Product Code
    HQL
    Adverse Event
    Yes
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    NJ, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    LENS IMPLANT APRIL 25, 1996, AT ANOTHER FACILITY. PT HISTORY OF 'CHRONIC IRIDOCYCLITIS.' EXPLANT OF LENS: 8/06/98.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 ALLERGAN Implant INTRAOCULAR LENS HQL ALLERGAN MEDICAL OPTICS AC 21 B 21.0 *

    Patients

    Seq Age Sex Outcome Treatment
    1 69 YR Other