BEUDAMED
    FDA Adverse Event Injury Summary report: N

    COLLAMER LENS

    MDR report key: 358551 · Received October 24, 2001

    Report

    Report Number
    2023826-2001-00071
    Event Type
    Injury
    Date Received
    October 24, 2001
    Date of Event
    October 2, 2001
    Report Date
    October 3, 2001
    Manufacturer
    STAAR SURGICAL
    Product Code
    HQL
    Removal / Correction Number
    NA
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    IA, US
    Reporter Occupation
    PHYSICIAN

    Narratives

    Description of Event or Problem · 1

    IN 2001, PT UNDERWENT IMPLANATATION OF STAAR MODEL CC-4204BF INTRAOCULAR LENS. IT IS STATED THAT THE LENS WAS INSERTED AND TORE THE POSTERIOR CAPSULE. NO VITRECTOMY WAS PERFORMED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    47690 COLLAMER LENS INTRAOCULAR LENS HQL STAAR SURGICAL CC-4204BF 01061502

    Patients

    Seq Age Sex Outcome Treatment
    1 UNKNOWN Required Intervention