BEUDAMED
    FDA Adverse Event Other Summary report: N

    ALCON

    MDR report key: 2623850 · Received June 15, 2012

    Report

    Report Number
    MW5025874
    Event Type
    Other
    Date Received
    June 15, 2012
    Date of Event
    January 5, 2012
    Report Date
    June 15, 2012
    Manufacturer
    ALCON LABORATORIES, INC
    Product Code
    GEX
    Report Source
    Voluntary report
    Reporter Location
    MO, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    DEFECTIVE LASER PROBE. PROBE DID NOT FIRE, NO AIMING BEAM, ENDO LIGHT WORKED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 ALCON ILLUMINATED FLEXIBLE CURVED LASER PROBE GEX ALCON LABORATORIES, INC 11029903X81065751592

    Patients

    Seq Age Sex Outcome Treatment
    1 36 YR