BEUDAMED
    FDA Adverse Event Injury Summary report: N

    PHACO TIP MST .9MM 15 DEG STRAIGHT

    MDR report key: 2554669 · Received April 27, 2012

    Report

    Report Number
    3019924-2012-00010
    Event Type
    Injury
    Date Received
    April 27, 2012
    Date of Event
    March 27, 2012
    Report Date
    April 27, 2012
    Manufacturer
    MICROSURGICAL TECHNOLOGY, INC.
    Product Code
    HQC
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    IT
    Reporter Occupation
    NOT APPLICABLE

    Narratives

    Additional Manufacturer Narrative · 1

    THE DEVICE IN QUESTION HAS NOT BEEN RETURNED FOR EVALUATION. NO FURTHER DETAILS WERE AVAILABLE AT THE TIME OF THIS REPORT.

    Description of Event or Problem · 1

    COMPANY DISTRIBUTOR REPORTED THAT THE SURGEON WAS EXPERIENCING AN INCREASE IN CORNEAL WOUND BURNS.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 PHACO TIP MST .9MM 15 DEG STRAIGHT PHACO TIP HQC MICROSURGICAL TECHNOLOGY, INC. PT-27915 042236

    Patients

    Seq Age Sex Outcome Treatment
    1 Other