BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    MALYUGIN RING

    MDR report key: 3022853 · Received March 15, 2013

    Report

    Report Number
    3022853
    Event Type
    Malfunction
    Date Received
    March 15, 2013
    Date of Event
    March 7, 2013
    Report Date
    March 11, 2013
    Manufacturer
    MICROSURGICAL TECHNOLOGY, INC.
    Product Code
    HNQ
    Product Problem
    Yes
    Report Source
    User Facility report
    Reporter Location
    MO, US

    Narratives

    Description of Event or Problem · 1

    INJECTOR JAMMED AND WAS DISCARDED PRIOR TO USE.WHAT WAS THE ORIGINAL INTENDED PROCEDURE?UNKNOWN.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    110732 MALYUGIN RING HOOK, OPHTHALMIC HNQ MICROSURGICAL TECHNOLOGY, INC. * *

    Patients

    Seq Age Sex Outcome Treatment
    1 85 YR