BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    SUPER FUNNEL CARTRIDGE

    MDR report key: 720406 · Received July 22, 2005

    Report

    Report Number
    2023826-2005-00990
    Event Type
    Malfunction
    Date Received
    July 22, 2005
    Date of Event
    June 22, 2005
    Report Date
    June 23, 2005
    Manufacturer
    STAAR SURGICAL COMPANY
    Product Code
    MSS
    PMA / PMN Number
    na
    Removal / Correction Number
    NA
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    ME, US
    Reporter Occupation
    NURSE

    Narratives

    Description of Event or Problem · 1

    THE SFC-25 PP CARTRIDGE WAS DEFECTIVE. ADDITIONAL INFORMATION HAS BEEN REQUESTED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 SUPER FUNNEL CARTRIDGE IOL INJECTION CARTRIDGE MSS STAAR SURGICAL COMPANY SFC-25 FP 1195417

    Patients

    Seq Age Sex Outcome Treatment
    1 UNKNOWN