BEUDAMED
    FDA Adverse Event Injury Summary report: N

    OPAQUE HERRICK LACRIMAL PLUG

    MDR report key: 538996 · Received August 12, 2004

    Report

    Report Number
    2024818-2004-00004
    Event Type
    Injury
    Date Received
    August 12, 2004
    Report Date
    July 12, 2004
    Manufacturer
    LACRIMEDICS, INC.
    Product Code
    LZU
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    VA, US
    Reporter Occupation
    PHYSICIAN

    Narratives

    Description of Event or Problem · 1

    DR REPORTED HE HAD A PT HE WAS HAVING TROUBLE IRRIGATING PLUGS OUT OF. REFERRED PT TO A SECOND DR. THAT DR REFERRED PT TO A SURGEON WHO RECOMMENDED A DCR. PT EVENTUALLY HAD A DCR.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 OPAQUE HERRICK LACRIMAL PLUG INTRACANILICULAR PLUG LZU LACRIMEDICS, INC. HLP5-OP 11-21-01-03

    Patients

    Seq Age Sex Outcome Treatment
    1 * Required Intervention