BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    INTRAOCULAR LENS

    MDR report key: 77975 · Received March 24, 1997

    Report

    Report Number
    MW1011018
    Event Type
    Malfunction
    Date Received
    March 24, 1997
    Date of Event
    March 11, 1997
    Manufacturer
    ALLERGAN MEDICAL OPTICS
    Product Code
    HQL
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    NY, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    AS MD UNFOLDED LENS SUPERIOR LOOP BROKE INTO PIECES.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 INTRAOCULAR LENS Implant INTRAOCULAR LENS HQL ALLERGAN MEDICAL OPTICS S140 NB *

    Patients

    Seq Age Sex Outcome Treatment
    1 81 YR