BEUDAMED
    FDA Adverse Event Injury Summary report: N

    OPAQUE HERRICK LACRIMAL PLUG

    MDR report key: 539085 · Received August 12, 2004

    Report

    Report Number
    2024818-2004-00001
    Event Type
    Injury
    Date Received
    August 12, 2004
    Date of Event
    April 2, 2004
    Report Date
    July 9, 2004
    Manufacturer
    LACRIMEDICS, INC.
    Product Code
    LZU
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Occupation
    PHYSICIAN

    Narratives

    Description of Event or Problem · 1

    DR REPORTED THAT HE HAD A PT HE WAS HAVING TROUBLE IRRIGATING PLUGS OUT OF. WHEN THE DR WAS UNSUCCESSFUL THE PT WAS REFERRED TO ANOTHER PHYSICIAN WHO WAS ALSO FAILED TO IRRIGATE PLUGS OUT. PT WAS THEN SENT FOR DCR. DR HAS NOT SUPPLIED ANY FURTHER INFO.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 OPAQUE HERRICK LACRIMAL PLUG INTRACANILICULAR PLUG LZU LACRIMEDICS, INC. HLP3-OPB NI

    Patients

    Seq Age Sex Outcome Treatment
    1 * Required Intervention