ARGUS II RETINAL PROSTHESIS 011014-004-K 011014

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a health professional,study report with the FDA on 2017-03-23 for ARGUS II RETINAL PROSTHESIS 011014-004-K 011014 manufactured by Second Sight Medical Products, Inc..

Event Text Entries

[70738270] All pertinent information available to (b)(4). Has been submitted. The company is submitting this mdr to ensure full compliance with 21 cfr part 803.
Patient Sequence No: 1, Text Type: N, H10


[70738271] This patient was implanted with the argus ii device on (b)(6) 2016. On (b)(6) 2017, the patient reported tearing and a feeling of mild tenderness in the implanted eye. The patient reported accidentally poking the implanted eye in (b)(6) 2016, after which the eye appeared red. Intraocular pressure (iop) in the implanted (left) eye was 0 mmhg. A fluoroscein strip test showed no leakage in the implanted eye. The patient was instructed to not touch the implanted eye and orbital area. On (b)(6) 2017, patient came in for a follow-up visit, and reported fluid discharge in the implanted eye. Iop was 1 mmhg. The surgeon reported that the implant cable was exposed and the suture was in place on the device, but came loose from the sclera. Patient underwent revision surgery during which the implant was re-sutured to the sclera, and the exposed implant was covered with pericardium graft. On (b)(6) 2017, the iop was still low (not measurable). The surgeon reported that there was no leakage, the cornea appeared clear, and there were no signs of infection. There was no defect or malfunction of the device associated with this event.
Patient Sequence No: 1, Text Type: D, B5


[75228086] This event represents a follow-up report to mdr# 3004081696-2017-00006. All pertinent information available to second sight (b)(4). Has been submitted. The company is submitting this mdr to ensure full compliance with 21 cfr part 803.
Patient Sequence No: 1, Text Type: N, H10


[75228087] This patient experienced hypotony and conjunctival erosion in the implanted eye, and underwent revision surgery on (b)(6) 2017. New information: on (b)(6) 2017, patient had low intraocular pressure (iop) and conjunctival erosion in the implanted eye. On (b)(6) 2017, patient underwent revision surgery during which the sclerotomy site was sutured closed and the implant was re-sutured to the sclera. The cable and the sclerotomy site were covered with pericardium graft. On (b)(6 2017, iop in the implanted eye was 6 mmhg, the wound appeared sealed, and there were no signs of infection. On (b)(6) 2017, conjunctival erosion was observed over the electrode cable and patient's iop was low. A sclerotomy leak was reported as well. Patient underwent revision surgery on (b)(6) 2017 during which the sclerotomy was sutured closed again, the implant was re-sutured to the sclera, a scleral patch graft was placed over the sclerotomy, and pericardium was placed over the implant and the scleral patch graft. On (b)(6) 2017, the sclerotomy site, implant, and cable were well covered with conjunctiva. On (b)(6) 2017, the patient's iop was 2 mmhg, and the surgeon reported that there was no conjunctival erosion or implant exposure. There was no defect or malfunction of the device associated with this event.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number3004081696-2017-00006
MDR Report Key6430448
Report SourceHEALTH PROFESSIONAL,STUDY
Date Received2017-03-23
Date of Report2017-02-22
Date of Event2017-02-22
Date Mfgr Received2017-02-22
Device Manufacturer Date2015-11-16
Date Added to Maude2017-03-23
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 ContactMR. MARK LOAR
Manufacturer Street12744 SAN FERNANDO RD. SUITE 400
Manufacturer CitySYLMAR CA 91342
Manufacturer CountryUS
Manufacturer Postal91342
Manufacturer Phone8188335049
Manufacturer G1SECOND SIGHT MEDICAL PRODUCTS, INC.
Manufacturer Street12744 SAN FERNANDO RD. SUITE 400
Manufacturer CitySYLMAR CA 91342
Manufacturer CountryUS
Manufacturer Postal Code91342
Single Use3
Previous Use Code3
Removal Correction NumberN/A
Event Type3
Type of Report3

Device Details

Brand NameARGUS II RETINAL PROSTHESIS
Generic NameRETINAL PROSTHESIS
Product CodeNBF
Date Received2017-03-23
Model Number011014-004-K
Catalog Number011014
Lot NumberN/A
Device Expiration Date2017-11-16
OperatorPHYSICIAN
Device AvailabilityY
Device AgeDA
Device Eval'ed by MfgrN
Device Sequence No1
Device Event Key0
ManufacturerSECOND SIGHT MEDICAL PRODUCTS, INC.
Manufacturer Address12744 SAN FERNANDO RD. SUITE 400 SYLMAR CA 91342 US 91342


Patients

Patient NumberTreatmentOutcomeDate
101. Required No Informationntervention 2017-03-23

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