GLAUCOMA LASER SCAN

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2008-09-25 for GLAUCOMA LASER SCAN manufactured by .

Event Text Entries

[16642913] Pt was put on the laser scan and developed the following symptoms! Burned eyes, blue circle and blisters on both eyes, she initially got cloudy vision and is now having pain and pressure on her eyes, and her eyes are irritated. Pt stated that the reason she initially went to doctor was high blood pressure, but they put her on this scan equipment. Pt had no device id info available.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report NumberMW5008396
MDR Report Key1174063
Date Received2008-09-25
Date of Report2008-09-25
Date Added to Maude2008-09-30
Event Key0
Report Source CodeVoluntary report
Manufacturer LinkN
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag0
Reporter OccupationPATIENT
Health Professional3
Initial Report to FDA3
Report to FDA0
Event Location0
Single Use0
Previous Use Code0
Event Type3
Type of Report3

Device Details

Generic NameGLAUCOMA LASER SCAN
Product CodeHKX
Date Received2008-09-25
OperatorLAY USER/PATIENT
Implant FlagN
Date RemovedB
Device Sequence No1
Device Event Key1206700


Patients

Patient NumberTreatmentOutcomeDate
10 2008-09-25

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