BEUDAMED
    FDA Adverse Event Injury Summary report: N

    SYNERGETIC 23G CHANDELIER

    MDR report key: 1953653 · Received January 4, 2011

    Report

    Report Number
    MW5018891
    Event Type
    Injury
    Date Received
    January 4, 2011
    Date of Event
    May 16, 2009
    Report Date
    January 3, 2011
    Manufacturer
    SYNERGETIC
    Product Code
    FSY
    Adverse Event
    Yes
    Report Source
    Voluntary report
    Reporter Location
    TX, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    CHANDELIER IMPLANTED AT 12 O'CLOCK DURING VITRECTOMY LEFT EYE, TOUCHED HUMAN LENS, CATARACT FORMATION, NEEDED CATARACT SURGERY DURING INITIAL SURGERY. NEEDED ANOTHER SURGERY FOR INTRAOCULAR LENS IMPLANTATION.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 SYNERGETIC 23G CHANDELIER CHANDELIER LIGHT 23G FSY SYNERGETIC

    Patients

    Seq Age Sex Outcome Treatment
    1 40 YR Disability