BEUDAMED
    FDA Adverse Event Other Summary report: N

    UNK

    MDR report key: 495397 · Received November 6, 2003

    Report

    Report Number
    MW1030108
    Event Type
    Other
    Date Received
    November 6, 2003
    Date of Event
    August 11, 2003
    Report Date
    November 6, 2003
    Manufacturer
    UNK
    Product Code
    HPZ
    Adverse Event
    Yes
    Report Source
    Voluntary report
    Reporter Location
    CO, US
    Reporter Occupation
    OTHER HEALTH CARE PROFESSIONAL

    Narratives

    Description of Event or Problem · 1

    RIGHT EYE DEFORMITY REMOVED INTACT - TOO SMALL.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 UNK 16MM OR 18MM RIGHT SPHERE HPZ UNK * *

    Patients

    Seq Age Sex Outcome Treatment
    1 62 YR Other