MST MALYUGIN RING MAL-000-1

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a 99 report with the FDA on 2012-02-17 for MST MALYUGIN RING MAL-000-1 manufactured by Mst.

Event Text Entries

[2552465] During cataract surgery, left eye, the pupil was noted to be small despite vigorous attempts to dilate. A malyugin ring was inserted easily but when the inserter was removed from the eye, there was a large tear in the anterior capsule extending under the iris. This made the capsule unstable and risk of extension to posterior capsule. It did not extend but the sulcus 10l seemed somewhat unstable - decentering but seemed centered at the end of case.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number2497824
MDR Report Key2497824
Report Source99
Date Received2012-02-17
Date of Report2011-12-22
Date of Event2011-12-21
Date Facility Aware2011-12-22
Report Date2011-12-22
Date Added to Maude2012-03-22
Event Key0
Report Source CodeUser Facility report
Manufacturer LinkN
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Single Use0
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameMST MALYUGIN RING
Generic NameMALYUGIN RING
Product CodeHNQ
Date Received2012-02-17
Model NumberMAL-000-1
Lot Number039
OperatorHEALTH PROFESSIONAL
Device AvailabilityN
Device AgeDA
Device Eval'ed by Mfgr*
Device Sequence No1
Device Event Key0
ManufacturerMST
Manufacturer Address8415 154TH AVE., N.E. REDMOND WA 98052 US 98052


Patients

Patient NumberTreatmentOutcomeDate
10 2012-02-17

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