BEUDAMED
    FDA Adverse Event Injury Summary report: N

    MST PACKARD .7MM PHOCO TIP

    MDR report key: 3736059 · Received April 2, 2014

    Report

    Report Number
    3019924-2014-00011
    Event Type
    Injury
    Date Received
    April 2, 2014
    Report Date
    April 2, 2014
    Manufacturer
    MICROSURGICAL TECHNOLOGY, INC.
    Product Code
    HQC
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    NC, US
    Reporter Occupation
    PHYSICIAN

    Narratives

    Description of Event or Problem · 1

    DURING SURGERY ON AN ELDERLY WOMAN WITH A 2-3+ CATARACT THE SENIOR RESIDENT SURGEON EXPERIENCED AN INCISION BURN USING A MST .7MM PACKARD PACO TIP. A PENETRATING KERATOPLASTY WAS LATER PERFORMED TO RELIEVE THE RESULTING TIGHT WOUND AND REDUCE ASTIGMATISM.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    199724 MST PACKARD .7MM PHOCO TIP PHOCO TIP HQC MICROSURGICAL TECHNOLOGY, INC. PT-32330-1

    Patients

    Seq Age Sex Outcome Treatment
    1 Required Intervention