BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    LARGE DIAMETER LACRIMAL INTUBATION SET/ STENTUBE OR LACRIMAL

    MDR report key: 792191 · Received November 27, 2006

    Report

    Report Number
    1649914-2006-00130
    Event Type
    Malfunction
    Date Received
    November 27, 2006
    Report Date
    November 27, 2006
    Manufacturer
    QUEST MEDICAL, INC.
    Product Code
    HNW
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    PA, US
    Reporter Occupation
    PHYSICIAN

    Narratives

    Description of Event or Problem · 1

    DR REPORTED THAT HE IS EXPERIENCING "CHEESE-WIRING" WITH THE STENTUBES. NO SAMPLES WERE SAVED; NO LOT NUMBERS WERE REPORTED. PRODUCT CODE IS EITHER LIS052 OR LIS27T.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 LARGE DIAMETER LACRIMAL INTUBATION SET/ STENTUBE OR LACRIMAL MANUAL OPHTHALMIC SURGICAL INSTRUMENT: LACRYMAL PROBE HNW QUEST MEDICAL, INC. LIS052 OR LIS27T UNK

    Patients

    Seq Age Sex Outcome Treatment
    1 UNKNOWN