FDA Adverse Event Other Summary report: N

SMARTPLUG

MDR report key: 615199 · Received June 15, 2005

Report

Report Number
2031959-2005-00001
Event Type
Other
Date Received
June 15, 2005
Report Date
June 10, 2005
Manufacturer
MEDENNIUM, INC.
Product Code
LZU
Removal / Correction Number
NA
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
CA, US
Reporter Occupation
PHYSICIAN

Narratives

Description of Event or Problem · 1

"THE DOCTOR STATED THAT HE HAS SEEN 1 CASE OF CANALICULITIS RECENTLY. THE DOCTOR STATED HE INSERTED SMARTPLUG ON THE PT APPROXIMATELY 1-1 1/2 YEARS AGO AND THE PT RETURNED RECENTLY WITH CANALICULITIS. THE DOCTOR SAID HE USED A TOPICAL ANTIBIOTIC AND LUSHED/IRRIGATED THE PRODUCT WITHOUT INCIDENT. THE CASE HAS BEEN RESOLVED AFTER AN ADDITIONAL 1 WEEK OF ORAL ANTIBIOTICS."

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 SMARTPLUG PUNCTUM PLUG LZU MEDENNIUM, INC. MODEL 500 38451

Patients

Seq Age Sex Outcome Treatment
1 UNKNOWN Other| R