FDA Adverse Event
Injury
Summary report: N
LENSX LASER SYSTEM
MDR report key: 3799581
·
Received April 23, 2014
Report
- Report Number
- 3008772169-2014-00038
- Event Type
- Injury
- Date Received
- April 23, 2014
- Date of Event
- March 26, 2014
- Report Date
- March 26, 2014
- Manufacturer
- ALCON - LENSX LASERS, INC
- Product Code
- OOE
- PMA / PMN Number
- K101626
- Removal / Correction Number
- NA
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Occupation
- UNKNOWN
Narratives
Additional Manufacturer Narrative · 1
INVESTIGATION INCLUDING ROOT CAUSE ANALYSIS IS IN PROGRESS. A SUPPLEMENTAL MDR WILL BE FILED AS NECESSARY IN ACCORDANCE WITH 21 CFR 803.56 WHEN ADDITIONAL REPORTABLE INFO BECOMES AVAILABLE. ADDITIONAL INFO HAS BEEN REQUESTED. (B)(4).
Description of Event or Problem · 1
A HEALTHCARE PROFESSIONAL HAS REPORTED FEMTOSECOND TREATMENT MAY HAVE CUT INTO THE ENDOTHELIUM. ADDITIONAL INFO HAS BEEN REQUESTED.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 245377 | LENSX LASER SYSTEM | OPHTHALMIC FEMTOSECOND LASER | OOE | ALCON - LENSX LASERS, INC | 550 | NA |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | Other |