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Adverse Event Report

BAUSCH & LOMB SURGICAL BAUSCH & LOMB SURGICAL INTRAOCULAR LENS   back to search results
Model Number LI 61 U
Device Problem Lens implant
Event Date 08/29/2000
Patient Outcome  Required Intervention;
Event Description

Endophthalmitis os.

 
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Brand NameBAUSCH & LOMB SURGICAL
Type of DeviceINTRAOCULAR LENS
Baseline Device 510(K) Number
Baseline Device PMA Number
Manufacturer (Section F)
BAUSCH & LOMB SURGICAL
555 west arrow hwy
clairemont CA 91711
Manufacturer (Section D)
BAUSCH & LOMB SURGICAL
555 west arrow hwy
clairemont CA 91711
Device Event Key285300
MDR Report Key294763
Event Key276809
Report Number294763
Device Sequence Number1
Product CodeHQL
Report Source User Facility
Reporter Occupation Physician
Type of Report Initial
Report Date 09/01/2000
1 Device Was Involved in the Event
1 Patient Was Involved in the Event
Date FDA Received09/01/2000
Is This An Adverse Event Report? Yes
Is This A Product Problem Report? No
Device Operator Health Professional
Device MODEL NumberLI 61 U
Was Device Available For Evaluation? No
Is The Reporter A Health Professional? Yes
Was the Report Sent to FDA? Yes
Date Report Sent to FDA09/01/2000
Distributor Facility Aware Date09/01/2000
Event Location AMBULATORY SURGICAL Facility
Date Report TO Manufacturer09/01/2000
Is the Device an Implant? Yes
Is this an Explanted Device? No Answer Provided

Database last updated on February 28, 2009

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