FDA Adverse Event Other Summary report: N

MEROCEL WIPE AND WICK AND CORNEAL LIGHTSHIELD

MDR report key: 4850293 · Received June 11, 2015

Report

Report Number
MW5043100
Event Type
Other
Date Received
June 11, 2015
Date of Event
March 25, 2015
Report Date
June 11, 2015
Manufacturer
BEAVER-VISITEC INTERNATIONAL
Product Code
MDM
Report Source
Voluntary report
Reporter Location
MO, US
Reporter Occupation
NURSE

Narratives

Description of Event or Problem · 1

PROD WAS USED AS UNINTENDED. PLAN WAS TO USE GELFOAM AND SUTURE PT CLOSED WITH F/U DAYS LATER WITH REMOVAL. "WIPE WITH WICK AND CORNEAL LIGHT SHIELD" WAS IMPLANTED ACCIDENTALLY DUE TO SIMILARITIES IN APPEARANCE. REASON FOR USE: NORMAL USE IS AN INSTRUMENT WIPE, WAS IMPLANTED INSTEAD.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
381011 MEROCEL WIPE AND WICK AND CORNEAL LIGHTSHIELD MEROCEL WIPE AND WICK AND CORNEAL LIGHTSHIELD MDM BEAVER-VISITEC INTERNATIONAL

Patients

Seq Age Sex Outcome Treatment
1 12 MO