BEUDAMED
    FDA Adverse Event Injury Summary report: N

    GRIESHABER

    MDR report key: 96436 · Received June 6, 1997

    Report

    Report Number
    MW1011412
    Event Type
    Injury
    Date Received
    June 6, 1997
    Date of Event
    May 20, 1997
    Report Date
    May 28, 1997
    Manufacturer
    GRIESHABER & CO
    Product Code
    HNM
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    AZ, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    SILICONE TIP CAME OFF 20 GA SOFT TIP NEEDLE INTRAOCULARLY. RETRIEVED WITHOUT PROBLEM.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 GRIESHABER INTRAOCULAR SOFT TIP NEEDLE HNM GRIESHABER & CO 149.52 151CG7

    Patients

    Seq Age Sex Outcome Treatment
    1 40 YR Required Intervention