BEUDAMED
    FDA Adverse Event Injury Summary report: N

    BEIERSDORF - JOBST

    MDR report key: 206761 · Received January 18, 1999

    Report

    Report Number
    MW1015470
    Event Type
    Injury
    Date Received
    January 18, 1999
    Date of Event
    January 10, 1999
    Report Date
    January 18, 1999
    Manufacturer
    BEIERSDORF - JOBST, INC.
    Product Code
    HOY
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    OR, US
    Reporter Occupation
    PHYSICIAN

    Narratives

    Description of Event or Problem · 1

    MALE INFANT HAS CONGENITAL CATARACT, AND NEEDS EYE OCCLUSOR DAILY. FOUND BEIRSDORF OCCLUSOR TO BE SATISFACTORY UNTIL MFR CHANGED ADHESIVE. NOW PT UNABLE TO USE BECAUSE OF HARSH ADHESIVE AND SKIN SENSITIVITY TO PRODUCT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 BEIERSDORF - JOBST EYE PATCH HOY BEIERSDORF - JOBST, INC. CHILD EYE OCCLUSOR *

    Patients

    Seq Age Sex Outcome Treatment
    1 9 MO Congenital Anomaly| R