YC-1800

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2015-09-30 for YC-1800 manufactured by Nidek Co., Ltd..

Event Text Entries

[27213134] The device has not been returned to the nidek however the device was evaluated at the filed by the field service engineer (fse). The device was tested and inspected for proper operation. Aiming beam out of focus issue could not be duplicated. The aiming beam focus was tested for proper functioning and no problem was found. Fse also discussed the focus issue with the doctor and suggested to use new abraham lens with the focus shift setting of 250 instead of 450 focus shift. As per operators manual it is recommended that doctor should use abraham lens during surgery. (reference: ophthalmic yag laser system yc-1800 operator's manual; 4. 4 preparing for treatment; 12. Caution). Failure to use contact lens could cause focus issue as the use of contact lens facilitates accurate focusing. (reference: http://www. Aao. Org/munnerlyn-laser-surgery-center/ndyaglaser-posterior-capsulotomy-3). Additionally fse also tested the device for low power issue. The low power issue was duplicated and verified by the fse. Service was performed and power has been adjusted according to specifications. The system was calibrated. However low power issue does not has a potential to cause an adverse event even if the issue reoccurs. (reference: operators manual: 2. Safety and precautions; 2. 3 use; caution) nidek considers this failure mode as a reportable event as the device has malfunctioned and the recurrence of the focus issue has potential to cause or contribute to an adverse event.
Patient Sequence No: 1, Text Type: N, H10


[27213135] Nidek inc. Received a complaint from a customer on (b)(6) 2015. Customer reported that during the use of yc-1800 sn: (b)(4) doctor noticed that the aiming beam was out of focus. Doctor also observed low power in the laser. The issue was observed during the testing of the device and no patient was affected.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number3002807715-2015-00047
MDR Report Key5115050
Date Received2015-09-30
Date of Report2015-07-21
Date of Event2015-07-01
Date Mfgr Received2015-07-21
Device Manufacturer Date2010-11-02
Date Added to Maude2015-09-30
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Reporter OccupationOTHER HEALTH CARE PROFESSIONAL
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Manufacturer ContactMR. NEO YAMAGUCHI
Manufacturer Street47651 WESTINGHOUSE DRIVE
Manufacturer CityFREMONT CA 945397474
Manufacturer CountryUS
Manufacturer Postal945397474
Manufacturer Phone5103537785
Manufacturer G1NIDEK CO., LTD.
Manufacturer Street34-14 HIROISHI
Manufacturer CityGAMAGORI, AICHI 443-0038
Manufacturer CountryJA
Manufacturer Postal Code443-0038
Single Use3
Previous Use Code3
Event Type3
Type of Report0

Device Details

Brand NameYC-1800
Generic NameND : YAG LASER
Product CodeLXS
Date Received2015-09-30
Model NumberYC-1800
OperatorPHYSICIAN
Device AvailabilityY
Device Eval'ed by MfgrY
Device Sequence No1
Device Event Key0
ManufacturerNIDEK CO., LTD.
Manufacturer Address34-14 HIROISHI GAMAGORI, AICHI 443-0038 JA 443-0038


Patients

Patient NumberTreatmentOutcomeDate
10 2015-09-30

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