BEUDAMED
    FDA Adverse Event Injury Summary report: N

    PREFILLED SYRINGE

    MDR report key: 36504 · Received September 4, 1996

    Report

    Report Number
    MW4001466
    Event Type
    Injury
    Date Received
    September 4, 1996
    Date of Event
    June 5, 1996
    Report Date
    June 10, 1996
    Manufacturer
    ALCON SURGICAL, INC.
    Product Code
    LZP
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    NJ, US
    Reporter Occupation
    NURSE

    Narratives

    Description of Event or Problem · 1

    CANNULA "BLEW OFF" SYRINGE, HITTING PT'S EYE AND CAUSING INJURY.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 PREFILLED SYRINGE PREFILLED SYRINGE LZP ALCON SURGICAL, INC. * 50405P

    Patients

    Seq Age Sex Outcome Treatment
    1 73 YR Required Intervention