BD VISITEC 585192 *

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2010-04-12 for BD VISITEC 585192 * manufactured by Bd.

Event Text Entries

[16919706] The bilateral silicone frontalis slings were placed in eyes due to severe ptosis with a minimal, 2 mm interpalpebral fissure opening, with a maximal brow elevation. Approximately 30 minutes after surgery, the left eye lid was seen to drop into complete ptosis while the patient was crying. The decision was made to bring the patient back into the operating room to revise the frontalis sling of the left eye. This was also done to determine the cause of the failure of the frontalis suspension surgery on the left upper eyelid.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number1664140
MDR Report Key1664140
Date Received2010-04-12
Date of Report2010-04-12
Date of Event2009-11-11
Report Date2010-04-12
Date Reported to FDA2010-04-12
Date Added to Maude2010-04-21
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 NameBD VISITEC
Generic NameNEEDLE, OPHTHALMIC, OCULOPLASTIC
Product CodeHNM
Date Received2010-04-12
Model Number585192
Catalog Number*
Lot Number9097077
ID Number*
Device AvailabilityN
Device Sequence No1
Device Event Key0
ManufacturerBD
Manufacturer Address1 BECTON DRIVE FRANKLIN LAKES NJ 07417 US 07417


Patients

Patient NumberTreatmentOutcomeDate
10 2010-04-12

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