BEUDAMED
    FDA Adverse Event Injury Summary report: N

    HERRICK LACRIMAL PLUG

    MDR report key: 474718 · Received July 29, 2003

    Report

    Report Number
    2024818-2003-00001
    Event Type
    Injury
    Date Received
    July 29, 2003
    Date of Event
    October 18, 2002
    Report Date
    July 29, 2003
    Manufacturer
    LACRIMEDICS, INC.
    Product Code
    LZU
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    PA, US
    Reporter Occupation
    PHYSICIAN

    Narratives

    Description of Event or Problem · 1

    A DOCTOR REPORTED TO THE MANUFACTURER THAT A PT HAD SUFFERED AN ADVERSE EVENT. AFTER SEVERAL ATTEMPTS TO OBTAIN MORE INFO THE DOCTOR ADVISED THAT A PT HAD A PLUG SURGICALLY REMOVED.

    Devices

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

    Patients

    Seq Age Sex Outcome Treatment
    1 * Required Intervention