BEUDAMED
    FDA Adverse Event Injury Summary report: N

    HERRICK LACRIMAL PLUG

    MDR report key: 376248 · Received February 8, 2002

    Report

    Report Number
    2024818-2002-00004
    Event Type
    Injury
    Date Received
    February 8, 2002
    Date of Event
    June 12, 2001
    Report Date
    February 5, 2002
    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

    TWO MONTHS AFTER INSERTION OF HERRICK LACRIMAL PLUGS THE PT EXHIBITED A "RED BAG OF TISSUE" PROTRUDING FROM THE PUNCTA CONSISTENT WITH A HERNIATED PUNCTA. THIS TISSUE WAS REMOVED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 HERRICK LACRIMAL PLUG INTRACANALICULAR LACRIMAL PLUG LZU LACRIMEDICS, INC. HLP7-OP UNK

    Patients

    Seq Age Sex Outcome Treatment
    1 UNKNOWN Required Intervention