BEUDAMED
    FDA Adverse Event Other Summary report: N

    MST BARRETT V2 I/A TIP

    MDR report key: 2253153 · Received August 26, 2011

    Report

    Report Number
    3019924-2011-00022
    Event Type
    Other
    Date Received
    August 26, 2011
    Date of Event
    July 26, 2011
    Report Date
    August 26, 2011
    Manufacturer
    MICROSURGICAL TECHNOLOGY INC
    Product Code
    HQC
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    IL, US
    Reporter Occupation
    OTHER

    Narratives

    Additional Manufacturer Narrative · 1

    THE DEVICE OPERATED AS DESIGNED. THE DEVICE EVALUATION INDICATES THE DEVICE WAS WITHIN SPECIFICATIONS. A CONCLUSION CANNOT BE DRAWN AT THIS TIME.

    Description of Event or Problem · 1

    THE DOCTOR REPORTED THAT HE EXPERIENCED A BROKEN CAPSULE DURING CATARACT SURGERY. THE SURGERY WAS ABLE TO BE COMPLETED WITHOUT CHANGE TO THE SURGICAL PLAN.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 MST BARRETT V2 I/A TIP IRRIGATION/ASPIRATION CANNULA HQC MICROSURGICAL TECHNOLOGY INC BRT-1027 031751

    Patients

    Seq Age Sex Outcome Treatment
    1 Other