FDA Adverse Event Injury Summary report: N

OPMI 6 S FC ON S3-B

MDR report key: 468277 · Received June 26, 2003

Report

Report Number
2431026-2003-00002
Event Type
Injury
Date Received
June 26, 2003
Date of Event
May 28, 2003
Report Date
June 26, 2003
Manufacturer
CARL ZEISS, INC.
Product Code
EPT
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
CT, US
Reporter Occupation
NURSE

Narratives

Description of Event or Problem · 1

DURING CATARACT REMOVAL PROCEDURE PATIENT ALLEGEDLY RECEIVED A RETINAL PHOTIC INJURY. FILTER WAS IN PLACE. LENGTH OF PROCEDURE REPORTED AT 41 MINUTES. FACILITY ALLEGES POST-OPERATIVE EXAMINATION INDICATES RETINAL INJURY TO LEFT, IN THE MACULA AND PARAMACULA; METAMORPHOPSIA CENTRALLY ON AMSLER GRID AND RELATIVE SCOTOMA SUPERIOR TEMPORAL TO FIXATION.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 OPMI 6 S FC ON S3-B SURGICAL MICROSCOPE EPT CARL ZEISS, INC. SERIAL NUMBER 149674 *

Patients

Seq Age Sex Outcome Treatment
1 62 YR Other