MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2001-05-02 for STORZ E-4210 * manufactured by Storz Instrument Co.
[188921]
Tip of bowman lachrymal probe, size o, missing after nasal-lacrimal duct probe, left eye. Retained foreign body in lacrimal duct confirmed by x-ray and ct.
Patient Sequence No: 1, Text Type: D, B5
| Report Number | 330371 |
| MDR Report Key | 330371 |
| Date Received | 2001-05-02 |
| Date of Report | 2001-04-27 |
| Date of Event | 2001-04-19 |
| Date Facility Aware | 2001-04-20 |
| Report Date | 2001-04-27 |
| Date Reported to FDA | 2001-05-01 |
| Date Reported to Mfgr | 2001-05-01 |
| Date Added to Maude | 2001-05-08 |
| Event Key | 0 |
| Report Source Code | User Facility report |
| Manufacturer Link | N |
| Number of Patients in Event | 0 |
| Adverse Event Flag | 3 |
| Product Problem Flag | 3 |
| Reprocessed and Reused Flag | 0 |
| Health Professional | 3 |
| Initial Report to FDA | 3 |
| Report to FDA | 3 |
| Event Location | 3 |
| Single Use | 0 |
| Previous Use Code | 0 |
| Event Type | 3 |
| Type of Report | 3 |
| Brand Name | STORZ |
| Generic Name | BOWMAN LACHRYMAL PROBE |
| Product Code | HNL |
| Date Received | 2001-05-02 |
| Model Number | E-4210 |
| Catalog Number | * |
| Lot Number | * |
| ID Number | * |
| Operator | HEALTH PROFESSIONAL |
| Device Availability | Y |
| Device Age | 5 YR |
| Implant Flag | N |
| Date Removed | A |
| Device Sequence No | 1 |
| Device Event Key | 319731 |
| Manufacturer | STORZ INSTRUMENT CO |
| Manufacturer Address | 3365 TREE COURT INDUST. BLVD ST LOUIS MO 631226694 US |
| Baseline Brand Name | STORZ |
| Baseline Generic Name | BOWMAN LACHRYMAL PROBE |
| Baseline Model No | E-4210 |
| Baseline Catalog No | * |
| Baseline ID | * |
| Patient Number | Treatment | Outcome | Date |
|---|---|---|---|
| 1 | 0 | 2001-05-02 |