BEUDAMED
    FDA Adverse Event Injury Summary report: N

    ELASTIMIDE LENS

    MDR report key: 276491 · Received May 2, 2000

    Report

    Report Number
    2023826-2000-00010
    Event Type
    Injury
    Date Received
    May 2, 2000
    Manufacturer
    STAAR SURGICAL CO.
    Product Code
    HQL
    Removal / Correction Number
    NA
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    ID, US
    Reporter Occupation
    PHYSICIAN

    Narratives

    Description of Event or Problem · 1

    PT UNDERWENT CATARACT SURGERY ON 3/23/2000, AND IMPLANTATION OF A STAAR MODEL AQ2017V INTRAOCULAR LENS. AS THE LENS WAS INSERTED INTO THE EYE THE CAPSULE TORE. AT THIS TIME, AN ANTERIOR VITRECTOMY WAS PERFORMED. THERE WAS NOT PT INJURY AND THE PT IS DOING FINE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 ELASTIMIDE LENS INTRAOCULAR LENS HQL STAAR SURGICAL CO. AQ2017V 1138908

    Patients

    Seq Age Sex Outcome Treatment
    1 * Required Intervention