BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    STAAR

    MDR report key: 506502 · Received December 24, 2003

    Report

    Report Number
    MW1030670
    Event Type
    Malfunction
    Date Received
    December 24, 2003
    Date of Event
    December 10, 2003
    Report Date
    December 10, 2003
    Manufacturer
    STAAR SURGICAL AG
    Product Code
    HQL
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    IL, US
    Reporter Occupation
    RISK MANAGER

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 STAAR IOL HQL STAAR SURGICAL AG CC4204BF *

    Patients

    Seq Age Sex Outcome Treatment
    1 63 YR Other