Brand Name | LASIK LASER |
Type of Device | EXCIMER LASER SYSTEM |
Manufacturer (Section D) |
|
MDR Report Key | 7780316 |
MDR Text Key | 117267197 |
Report Number | MW5079126 |
Device Sequence Number | 0 |
Product Code |
LZS
|
Combination Product (y/n) | N |
Number of Events Reported | 1 |
Summary Report (Y/N) | N |
Report Source |
Voluntary
|
Reporter Occupation |
Patient
|
Type of Report
| Initial |
Report Date |
08/09/2018 |
1 Device was Involved in the Event |
|
1 Patient was Involved in the Event |
|
Is this an Adverse Event Report? |
Yes
|
Device Operator |
Health Professional
|
Was Device Available for Evaluation? |
No
|
Initial Date Manufacturer Received |
Not provided
|
Initial Date FDA Received | 08/13/2018 |
Was Device Evaluated by Manufacturer? |
No Information
|
Type of Device Usage |
N
|
Patient Sequence Number | 1 |
Patient Outcome(s) |
Other;
|
Patient Age | 31 YR |
Patient Weight | 73 |
|
|