FDA Adverse Event Injury Summary report: N

HERRICK LACRIMAL PLUG

MDR report key: 539008 · Received August 12, 2004

Report

Report Number
2024818-2004-00002
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 Occupation
ATTORNEY

Narratives

Description of Event or Problem · 1

DR REPORTED THAT HE HAD A PT HE WAS HAVING TROUBLE IRRIGATING PLUGS OUT OF. PT EVENTUALLY HAD A DCR. DR HAS NOT SUPPLIED ANY FURTHER INFO.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 HERRICK LACRIMAL PLUG INTRACANILICULAR PLUG LZU LACRIMEDICS, INC. NI NI

Patients

Seq Age Sex Outcome Treatment
1 * Required Intervention