BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    FRENCH SPRING EYE

    MDR report key: 226214 · Received May 27, 1999

    Report

    Report Number
    MW1016459
    Event Type
    Malfunction
    Date Received
    May 27, 1999
    Date of Event
    April 30, 1999
    Report Date
    May 24, 1999
    Manufacturer
    ANCHOR PRODUCTS CO.
    Product Code
    GAB
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    MD, US
    Reporter Occupation
    PHYSICIAN

    Narratives

    Description of Event or Problem · 1

    FRENCH SPRING EYE NEEDLE BROKE DURING SURGERY, WITH NO APPARENT UNDUE STRESS. NO ADVERSE IMPACT TO PT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 FRENCH SPRING EYE NEEDLE GAB ANCHOR PRODUCTS CO. 1861-2D *

    Patients

    Seq Age Sex Outcome Treatment
    1 59 YR Other