BEUDAMED
    FDA Adverse Event Injury Summary report: N

    HERRICK LACRIMAL PLUG

    MDR report key: 376272 · Received February 8, 2002

    Report

    Report Number
    2024818-2002-00002
    Event Type
    Injury
    Date Received
    February 8, 2002
    Date of Event
    October 30, 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

    HERRICK PLUG ALLEGEDLY EMBEDDED IN CANALICULUS OF BOTH LOWER LIDS REQUIRING A SURGICAL PROCEDURE (I.E. DCR) TO REMOVE. OCULOPLAST ATTEMPTED TO REMOVE PLUG(S) WITH PRESSURE IRRIGATION PRIOR TO SURGERY WITHOUT APPARENT SUCCESS. ONE PLUG WAS RECOVERED EMBEDDED IN SCAR TISSUE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 HERRICK LACRIMAL PLUG INTRACANALICULAR LACRIMAL PLUG LZU LACRIMEDICS, INC. HLP3 UNK

    Patients

    Seq Age Sex Outcome Treatment
    1 49 YR Required Intervention