BEUDAMED
    FDA Adverse Event Other Summary report: N

    *

    MDR report key: 509018 · Received January 14, 2004

    Report

    Report Number
    MW1030890
    Event Type
    Other
    Date Received
    January 14, 2004
    Date of Event
    December 9, 2003
    Report Date
    January 13, 2004
    Manufacturer
    *
    Product Code
    LMO
    Adverse Event
    Yes
    Report Source
    Voluntary report
    Reporter Location
    FL, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    RUPTURED GLOBE AFTER PKP TRANSPLANT OF CORNEA TISSUE FOR A REPAIR OF RUPTURED GLOBE AND REPAIR OF IRIS.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 * CORNEA TISSUE LMO * * *

    Patients

    Seq Age Sex Outcome Treatment
    1 * Other