BEUDAMED
    FDA Adverse Event Injury Summary report: N

    PROVISC

    MDR report key: 528463 · Received May 19, 2004

    Report

    Report Number
    MW1032138
    Event Type
    Injury
    Date Received
    May 19, 2004
    Date of Event
    May 13, 2004
    Report Date
    May 19, 2004
    Manufacturer
    ALCON LABORATORIES
    Product Code
    LZP
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    FL, US
    Reporter Occupation
    NURSE

    Narratives

    Description of Event or Problem · 1

    CONTAMINATED ALCON LABORATORIES PRODUCT: PROVISC. STAPH AUREUS GROWTH-MRSA.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 PROVISC VISCOELASTIC LZP ALCON LABORATORIES * 03K25C

    Patients

    Seq Age Sex Outcome Treatment
    1 76 YR Required Intervention