BEUDAMED
    FDA Adverse Event Injury Summary report: N

    ALLEGRETTO WAVE EYE-Q

    MDR report key: 3598592 · Received December 20, 2013

    Report

    Report Number
    3003288808-2013-00868
    Event Type
    Injury
    Date Received
    December 20, 2013
    Date of Event
    December 8, 2013
    Report Date
    December 8, 2013
    Manufacturer
    WAVELIGHT GMVH
    Product Code
    LZS
    PMA / PMN Number
    P030008
    Removal / Correction Number
    NA
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    OH, US
    Reporter Occupation
    OTHER

    Narratives

    Additional Manufacturer Narrative · 1

    INVESTIGATION, INCLUDING ROOT CAUSE ANALYSIS, IS IN PROGRESS. A SUPPLEMENTAL MDR WILL BE FILED AS NECESSARY IN ACCORDANCE WITH 21 CFR 803.56 WHEN ADDITIONAL REPORTABLE INFORMATION BECOMES AVAILABLE. (B)(4).

    Description of Event or Problem · 1

    A CUSTOMER REPORTED PATIENT WITH DIFFUSE LAMELLAR KERATITIS LOCATED AT THE LEFT EYE FLAP EDGE AT 1 DAY POST OP FROM A LASIK PROCEDURE. TREATMENT PROVIDED: STEROID DROP INCREASE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    669608 ALLEGRETTO WAVE EYE-Q OPTHALMIC EXCIMER LASER SYSTEM LZS WAVELIGHT GMVH 8065990601 NA

    Patients

    Seq Age Sex Outcome Treatment
    1 20 YR Other FEMTOSECOND LASER