BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    ALLERGAN

    MDR report key: 294691 · Received June 28, 2000

    Report

    Report Number
    MW1019846
    Event Type
    Malfunction
    Date Received
    June 28, 2000
    Date of Event
    April 26, 2000
    Report Date
    June 28, 2000
    Manufacturer
    ALLERGAN MEDICAL OPTICS ZEISS HUMPHREY SYSTEMS
    Product Code
    HQC
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    NY, US
    Reporter Occupation
    NURSE

    Narratives

    Description of Event or Problem · 1

    DURING PHACOEMULSIFCATION OF CATARACT, THE ALLERGAN PHACO MACHINE DID NOT WORK IN VITRECTOMY MODE. CASE COMPLETED WITH ANOTHER MACHINE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 ALLERGAN PHACO MACHINE HQC ALLERGAN MEDICAL OPTICS ZEISS HUMPHREY SYSTEMS SOVERIGN *

    Patients

    Seq Age Sex Outcome Treatment
    1 87 YR