BEUDAMED
    FDA Adverse Event Injury Summary report: N

    LADARVISION 4000

    MDR report key: 704963 · Received March 27, 2006

    Report

    Report Number
    1061857-2006-00134
    Event Type
    Injury
    Date Received
    March 27, 2006
    Report Date
    September 27, 2005
    Manufacturer
    ALCON-ORLANDO TECHNOLOGY CTR
    Product Code
    DZS
    Removal / Correction Number
    NA
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    MA, US
    Reporter Occupation
    PHYSICIAN

    Narratives

    Description of Event or Problem · 1

    FOLLOWING LASIK SURGERY, THIS PT EXHIBITED A DECREASE OF 2 LINES BCVA IN THE RIGHT EYE AT THE 1-MONTH POST-OPERATIVE VISIT. NO FURTHER INFO IS AVAILABLE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 LADARVISION 4000 OPHTHALMIC EXCIMER LASER SYSTEM DZS ALCON-ORLANDO TECHNOLOGY CTR NA NA

    Patients

    Seq Age Sex Outcome Treatment
    1 24 YR Other