FDA Adverse Event Injury Summary report: N

RAINDROP INLAY

MDR report key: 8090039 · Received November 19, 2018

Report

Report Number
MW5081490
Event Type
Injury
Date Received
November 19, 2018
Date of Event
July 26, 2017
Report Date
November 16, 2018
Manufacturer
REVISION OPTICS INC.
Product Code
LQE
Product Problem
Yes
Report Source
Voluntary report
Reporter Location
GA, US
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL

Narratives

Description of Event or Problem · 1

DECREASED VISION AND CORNEAL EDEMA.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
923211 RAINDROP INLAY IMPLANT CORNEAL REFRACTIVE LQE REVISION OPTICS INC. 003054

Patients

Seq Age Sex Outcome Treatment
1 48 YR Required Intervention