BEUDAMED
    FDA Adverse Event Injury Summary report: N

    NON-MCGHAN

    MDR report key: 406155 · Received July 19, 2002

    Report

    Report Number
    2939859-2002-00110
    Event Type
    Injury
    Date Received
    July 19, 2002
    Date of Event
    November 29, 2001
    Report Date
    June 7, 2002
    Manufacturer
    MCGHAM MEDICAL CORP. (FREMONT)
    Product Code
    LMH
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    VA, US
    Reporter Occupation
    PHYSICIAN

    Narratives

    Description of Event or Problem · 1

    FOLLOW FINDINGS: NOT A PRODUCT MFG BY INAMED CORP.

    Description of Event or Problem · 1

    PATIENT WAS ALLEGEDLY INJECTED WITH BOVINE COLLAGEN IN A FOREHEAD SCAR JUST LEFT OF MIDLINE AT THE HAIRLINE. WITHIN 24 HOURS THE PATIENT HAD LOST VISION IN THE LEFT EYE. "CHOROIDAL INFARCTION, LIKELY DUE TO EMBOLIZATION OF THE POSTERIOR CILLIARY ARTERIES" WAS THE DIAGNOSIS BY CONSULTING PHYSICIAN.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 NON-MCGHAN NON-MMC LMH MCGHAM MEDICAL CORP. (FREMONT) NI NI

    Patients

    Seq Age Sex Outcome Treatment
    1 48 YR Disability