SMARTPLUG 500

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a 00 report with the FDA on 2014-06-25 for SMARTPLUG 500 manufactured by Medennium, Inc..

Event Text Entries

[21999960] Refer to (b)(4).
Patient Sequence No: 1, Text Type: D, B5


[22342584] From the reported events we can conclude that the smartplugs were implanted at least one year prior to the diagnosis of canaliculitis in left upper lid and ephiphora on left eye. It was after two years that the patient underwent surgical procedures to have the plugs removed. As reported in the literature some surgeons first choice of treatment is surgical removal while others treat the infections and only then when the swelling is down they remove the plug by irrigation or massaging. From the report all we can conclude is that the plugs have been removed and no longer present a potential risk of secondary infection to the pt. The case is closed and no additional info can be expected.
Patient Sequence No: 1, Text Type: N, H10


MAUDE Entry Details

Report Number2031959-2014-00001
MDR Report Key3929774
Report Source00
Date Received2014-06-25
Date of Report2014-06-24
Date of Event2013-01-01
Date Mfgr Received2014-06-03
Date Added to Maude2014-07-14
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Health Professional3
Initial Report to FDA3
Report to FDA0
Event Location0
Manufacturer Street9 PARKER SUITE 150
Manufacturer CityIRVINE CA 92618
Manufacturer CountryUS
Manufacturer Postal92618
Manufacturer Phone9497899000
Single Use3
Remedial ActionOT
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameSMARTPLUG
Generic NamePUNCTUM PLUG
Product CodeLZU
Date Received2014-06-25
Model Number500
Catalog Number500
Lot NumberUNK
OperatorHEALTH PROFESSIONAL
Device AvailabilityN
Device AgeDA
Device Eval'ed by MfgrR
Device Sequence No1
Device Event Key0
ManufacturerMEDENNIUM, INC.
Manufacturer Address9 PARKER SUITE 150 IRVINE CA 92618 US 92618


Patients

Patient NumberTreatmentOutcomeDate
101. Required No Informationntervention 2014-06-25

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