BEUDAMED
    FDA Adverse Event Injury Summary report: N

    SKLAR

    MDR report key: 408363 · Received July 29, 2002

    Report

    Report Number
    MW1025704
    Event Type
    Injury
    Date Received
    July 29, 2002
    Date of Event
    May 22, 2002
    Report Date
    May 22, 2002
    Manufacturer
    SKLAR INSTRUMENTS
    Product Code
    HMX
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    LOCRINAL DUCT PROBE (00) BROKE WHILE IN USE BY DR WHEN BEING PLACED IN RIGHT TEAR DUCT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 SKLAR LACRIMAL DUCT DILATOR/PROBE HMX SKLAR INSTRUMENTS BOWMAN DOUBLE-ENDED *

    Patients

    Seq Age Sex Outcome Treatment
    1 15 MO Required Intervention