BEUDAMED
    FDA Adverse Event Injury Summary report: N

    COAXIAL TIP

    MDR report key: 23416 · Received June 26, 1995

    Report

    Report Number
    23416
    Event Type
    Injury
    Date Received
    June 26, 1995
    Date of Event
    June 22, 1995
    Report Date
    June 26, 1995
    Manufacturer
    IOPTEX
    Product Code
    CCQ
    Product Problem
    Yes
    Report Source
    User Facility report
    Reporter Location
    PA, US
    Reporter Occupation
    NURSE

    Narratives

    Description of Event or Problem · 1

    INNER TUBE OF I/A TIP "SHOT" FORWARD PUNCTURING POSITIVE CAPSULE. I/A TIP AND IOL REMOVED IMMEDIATELY.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 COAXIAL TIP COAXIAL TIP CCQ IOPTEX

    Patients

    Seq Age Sex Outcome Treatment
    1 77 YR Required Intervention