BEUDAMED
    FDA Adverse Event Injury Summary report: N

    HERRICK LACRIMAL PLUG

    MDR report key: 361085 · Received November 9, 2001

    Report

    Report Number
    2024818-2001-00001
    Event Type
    Injury
    Date Received
    November 9, 2001
    Date of Event
    February 1, 2000
    Report Date
    October 19, 2001
    Manufacturer
    LACRIMEDICS, INC.
    Product Code
    LZU
    Removal / Correction Number
    NA
    Report Source
    Manufacturer report
    Reporter Location
    MO, US
    Reporter Occupation
    PHYSICIAN

    Narratives

    Description of Event or Problem · 1

    HERRICK LACRIMAL PLUGS ALLEGEDLY INSTALLED IN 1999. PATIENT WAS EXPERIENCING EPIPHORA AND WAS REFERRED TO AN OCULOPLAST. THE OCULOPLAST MADE REPEATED ATTEMPTS TO IRRIGATE OUT THE PLUGS WITHOUT APPARENT SUCCESS. A DCR WAS PERFORMED. NO PLUG WAS RECOVERED BUT SEVERE SCARRING OF THE INFERIOR CANALICULUS WAS NOTED BY THE OCULOPLAST. THE CANALICULUS WAS SUBSEQUENTLY DILATED AND INTUBATED WITH SILICONE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    50082 HERRICK LACRIMAL PLUG INTRACANALICULAR PLUG LZU LACRIMEDICS, INC. HLP5 12199804

    Patients

    Seq Age Sex Outcome Treatment
    1 69 YR Required Intervention