BEUDAMED
    FDA Adverse Event Injury Summary report: N

    HERRICK LACRIMAL PLUG

    MDR report key: 361089 · Received November 9, 2001

    Report

    Report Number
    2024818-2001-00002
    Event Type
    Injury
    Date Received
    November 9, 2001
    Date of Event
    January 1, 1999
    Report Date
    October 19, 2001
    Manufacturer
    LACRIMEDICS, INC
    Product Code
    LZU
    Removal / Correction Number
    NA
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Occupation
    INVALID DATA

    Narratives

    Description of Event or Problem · 1

    HERRICK PLUG ALLEGEDLY EMBEDDED IN CANALICULUS REQUIRING A SURGICAL PROECEDURE (I.E. DCR) TO REMOVE. OCULOPLAST ATTEMPTED TO REMOVE PLUG(S) WITH PROBING AND PRESSURE IRRIGATION PRIOR TO SURGERY WITHOUT APPARENT SUCCESS.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    50169 HERRICK LACRIMAL PLUG INTRACANALICULAR LACRIMAL PLUG LZU LACRIMEDICS, INC HLP5 UNK

    Patients

    Seq Age Sex Outcome Treatment
    1 64 YR Required Intervention