BEUDAMED
    FDA Adverse Event Other Summary report: N

    ALCON LEGACY

    MDR report key: 485491 · Received September 25, 2003

    Report

    Report Number
    485491
    Event Type
    Other
    Date Received
    September 25, 2003
    Date of Event
    September 10, 2003
    Report Date
    September 24, 2003
    Manufacturer
    ALCON LABORATORIES INC
    Product Code
    HQE
    Adverse Event
    Yes
    Report Source
    User Facility report
    Reporter Location
    WV, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    PT HAD CATARACT SURGERY IN 2003. PHYSICIAN INFORMED STAFF THAT 12 DAYS LATER PT HAD TO HAVE ADD'L SURGERY BECAUSE OF POSSIBLE BURN.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 ALCON LEGACY PHACO MACHINE HQE ALCON LABORATORIES INC 20000 203-000-501

    Patients

    Seq Age Sex Outcome Treatment
    1 78 YR Other