BEUDAMED
    FDA Adverse Event Injury Summary report: N

    HERRICK LACRIMAL PLUG

    MDR report key: 476723 · Received August 8, 2003

    Report

    Report Number
    2024818-2003-00003
    Event Type
    Injury
    Date Received
    August 8, 2003
    Date of Event
    January 18, 2002
    Report Date
    August 8, 2003
    Manufacturer
    LACRIMEDICS, INC.
    Product Code
    LZU
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    MI, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    PATIENT HAD PLUGS PUT IN, 1999. THE PATIENT CONTINUED TO SUFFER CONSTANT TEARING AND PHYSICIANS ATTEMPTED TO IRRIGATE OUT PLUGS. AFTER UNSUCCESSFUL ATTEMPTS AT IRRIGATION THE PATIENT HAD A "DCR" PERFORMED.

    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 * Other