BEUDAMED
    FDA Adverse Event Injury Summary report: N

    HERRICK LACRIMAL PLUG

    MDR report key: 665269 · Received January 12, 2006

    Report

    Report Number
    2024818-2006-00001
    Event Type
    Injury
    Date Received
    January 12, 2006
    Date of Event
    January 1, 2005
    Report Date
    January 12, 2006
    Manufacturer
    LACRIMEDICS, INC.
    Product Code
    LZU
    Report Source
    Manufacturer report
    Reporter Location
    OR, US
    Reporter Occupation
    ATTORNEY

    Narratives

    Description of Event or Problem · 1

    LASIK PATIENT HAD PLUGS PUT IN LOWER LIDS. FIVE YEARS AFTER INSERTION THE PATIENT SOUGHT TERTIARY CARE FOR AN UNDISCLOSED REASON. HER LID WAS CUT DOWN WITH INTUBATION AFTER FAILED IRRIGATION ATTEMPTS BY SEVERAL DOCTORS. SOME SCAR TISSUE WAS NOTED IN THE LACRIMAL SYSTEM BUT NO PLUG WAS FOUND.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 HERRICK LACRIMAL PLUG INTRACANNALICULAR PLUG LZU LACRIMEDICS, INC. HLP5 NI

    Patients

    Seq Age Sex Outcome Treatment
    1 * Required Intervention