VERION DIGITAL MARKER L X-SPL 8065998241

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a company representative,foreig report with the FDA on 2017-03-21 for VERION DIGITAL MARKER L X-SPL 8065998241 manufactured by Wavelight Gmbh (agps).

Event Text Entries

[70421294] Investigation, including root cause analysis, is in progress. A supplemental mdr will be filed as necessary in accordance with 21 cfr 803. 56 when additional reportable information becomes available. (b)(4).
Patient Sequence No: 1, Text Type: N, H10


[70421295] A surgeon reported a case of oblique astigmatism post cataract procedure. The reporter indicated the image guided system recommended axial placement was off alignment and did not correct the cylinder power. Reporter indicated the intraocular lens (iol) was rotated three days later, and patient is doing well.
Patient Sequence No: 1, Text Type: D, B5


[86891334] No technical root cause could be determined. A potential contributing factor could be related to an incorrect selection of doctor seating position may result in a wrong displayed axis shown in the overlay and could lead to the reported problem. (b)(4).
Patient Sequence No: 1, Text Type: N, H10


MAUDE Entry Details

Report Number3010300699-2017-00004
MDR Report Key6420252
Report SourceCOMPANY REPRESENTATIVE,FOREIG
Date Received2017-03-21
Date of Report2017-06-21
Date of Event2017-02-22
Date Mfgr Received2017-05-24
Date Added to Maude2017-03-21
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 FDA3
Event Location3
Manufacturer ContactMS. RITA LOPEZ
Manufacturer StreetAM WOLFSMANTEL 5
Manufacturer CityERLANGEN 91058
Manufacturer CountryGM
Manufacturer Postal91058
Manufacturer Phone8175514846
Manufacturer G1WAVELIGHT GMBH (AGPS)
Manufacturer StreetRHEINSTRASSE 8
Manufacturer CityTELTOW 14513
Manufacturer CountryGM
Manufacturer Postal Code14513
Single Use3
Remedial ActionOT
Previous Use Code3
Removal Correction NumberNA
Event Type3
Type of Report3

Device Details

Brand NameVERION DIGITAL MARKER L
Generic NameMARKER, OCULAR
Product CodeFTH
Date Received2017-03-21
Model NumberX-SPL
Catalog Number8065998241
Lot NumberASKU
OperatorHEALTH PROFESSIONAL
Device AvailabilityN
Device AgeDA
Device Eval'ed by MfgrR
Device Sequence No1
Device Event Key0
ManufacturerWAVELIGHT GMBH (AGPS)
Manufacturer AddressRHEINSTRASSE 8 TELTOW 14513 GM 14513


Patients

Patient NumberTreatmentOutcomeDate
101. Other; 2. Required No Informationntervention 2017-03-21

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