BEUDAMED
    FDA Adverse Event Other Summary report: N

    GENTIAN MARKING PAD

    MDR report key: 494627 · Received September 11, 2003

    Report

    Report Number
    1211998-2003-00003
    Event Type
    Other
    Date Received
    September 11, 2003
    Manufacturer
    BD OPHTHALMIC SYSTEMS
    Product Code
    HMQ
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    CA
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    THE ACCOUNT THINKS THE MARKING PADS CUASED DLK IN 7 CASES IN 8/2003.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 GENTIAN MARKING PAD BD VISIMARK VIOLET MARKING PAD HMQ BD OPHTHALMIC SYSTEMS * 3155268

    Patients

    Seq Age Sex Outcome Treatment
    1 * Other