STORZ

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 1994-07-29 for STORZ manufactured by Storz Instruments.

Event Text Entries

[11921] Pt. To surgery 4/26/94 for corneal transplant. Physician noted foreign body in eye on 4/27/94. Consult called with another physician to examine. Confirmed metal shaving in eye. Pt. Returned to surgery 4/28/94 for removal of foreign body.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number19230
MDR Report Key19230
Date Received1994-07-29
Date of Report1994-04-29
Date of Event1994-04-26
Date Added to Maude1995-01-30
Event Key0
Report Source CodeUser Facility report
Manufacturer LinkN
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag0
Reporter OccupationRISK MANAGER
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Single Use0
Previous Use Code0
Event Type3
Type of Report3

Device Details

Brand NameSTORZ
Generic NameCORNEAL TREPHINE
Product CodeHOF
Date Received1994-07-29
Lot NumberREUSABLE
ID Number9.5 CORNEAL TREPHINE
OperatorHEALTH PROFESSIONAL
Device AvailabilityY
Device Age*
Implant FlagN
Date RemovedB
Device Sequence No1
Device Event Key13274
ManufacturerSTORZ INSTRUMENTS
Manufacturer AddressP.O. BOX 18678M ST. LOUIS MO 631058678 US


Patients

Patient NumberTreatmentOutcomeDate
101. Required No Informationntervention 1994-07-29

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