FDA Adverse Event Injury Summary report: N

WAVELIGHT EX500 EXCIMER LASER

MDR report key: 23645425 · Received November 25, 2025

Report

Report Number
3003288808-2025-00541
Event Type
Injury
Date Received
November 25, 2025
Report Date
February 23, 2026
Manufacturer
WAVELIGHT GMBH
Product Code
LZS
PMA / PMN Number
P020050
Removal / Correction Number
NA
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
UT, US
Reporter Occupation
PHYSICIAN
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

ADDITIONAL INFORMATION PROVIDED IN H.3., H.6., AND H.11. HOWEVER, ALL PRODUCT AND BATCH HISTORY RECORDS ARE QUALITY REVIEWED PRIOR TO PRODUCT RELEASE, ENSURING THAT ALL PRODUCTS ON THE MARKET FULFILL THE RELEVANT REQUIREMENTS. NO SERIAL NUMBER WAS IDENTIFIED WITHIN THE ARTICLE AND THEREFORE WITHIN THIS COMPLAINT, WHICH IS WHY THE ASSOCIATED MANUFACTURING DOCUMENTATION COULD NOT BE REVIEWED. SINCE THE COMPLAINT WAS OPENED BASED ON AN ARTICLE IN SCIENTIFIC LITERATURE, NO SAMPLE IS AVAILABLE TO BE PROVIDED TO THE RESPONSIBLE SITE FOR AN IN-DEPTH INVESTIGATION. DUE TO THE NATURE OF THE ARTICLE PUBLISHED IN SCIENTIFIC LITERATURE, INFORMATION REQUIRED TO PERFORM A PROPER COMPLAINT INVESTIGATION IS NOT MADE AVAILABLE. THEREFORE, THE ROOT CAUSE OF THE EVENTS INCLUDED IN THE ARTICLE CANNOT BE IDENTIFIED. THE MANUFACTURER INTERNAL REFERENCE NUMBER IS: (B)(4). H.10 REFLECTS ALL RELATED REPORT NUMBERS ASSOCIATED WITH THIS PRODUCT EVENT THAT HAVE BEEN SUBMITTED AT THIS TIME.

Additional Manufacturer Narrative · 0

H.3., H.6.: INVESTIGATION, INCLUDING ROOT CAUSE ANALYSIS, IS IN PROGRESS. A SUPPLEMENTAL MDR WILL BE FILED AS NECESSARY IN ACCORDANCE WITH 21 CFR 803.56 WHEN ADDITIONAL REPORTABLE INFORMATION BECOMES AVAILABLE. THE MANUFACTURER INTERNAL REFERENCE NUMBER IS: (B)(4). H.10 REFLECTS ALL RELATED REPORT NUMBERS ASSOCIATED WITH THIS PRODUCT EVENT THAT HAVE BEEN SUBMITTED AT THIS TIME.

Description of Event or Problem · 0

A LITERATURE STUDY ARTICLE REPORTED THAT THIS REPORT OF MYOPIC IN THE PATIENT'S UNKNOWN EYE WITH SIGNIFICANT RISK FACTORS FOR ACUTE DISLOCATION WAS HIGH MYOPIA (GREATER THAN -6.0 D) AND AGE OVER FIFTY-FIVE YEARS. POSTOPERATIVE RISK FACTORS WERE ASSOCIATED WITH INCREASED RISK OF ACUTE FLAP DISLOCATION AFTER REFRACTIVE SURGERY.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
2562782 WAVELIGHT EX500 EXCIMER LASER OPHTHALMIC EXCIMER LASER SYSTEM LZS WAVELIGHT GMBH NA ASKU

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown Other WAVELIGHT FS200 FEMTOSECOND LASER.