MAUDE MDR 7214159

MDR report key
7214159
Report number
3012123033-2018-00001
Event key
0
Event type
3
Date of event
2017-10-10
Date received
2018-01-23
Adverse event
3
Product problem
3
Patients in event
0
Reporter occupation
0
Health professional
0
Initial report to FDA
0
Event location
3

Manufacturer Contact#

Contact
JANE DEMKOVICH
Address
8748 TECHNOLOGY WAY RENO NV 89521 US
Phone
775-775-7754
Report source
M
Manufacturer link flag
Y

Devices#

Seq, Brand, Generic table
SeqBrandGenericManufacturerProduct codeModelCatalogLotPMA510(k)ImplantEvaluatedAvailability
1LOW ENERGY ENDOCAPSULAR PHACO (LEEP) DEVICEOPHTHALMIC HOOKIANTECH, INC.HNQFG-11881FG20170516-01R N

Patients#

Sequence, Received, Treatment table
SequenceReceivedTreatmentOutcome
12018-01-2301. R

Event Narratives#

N

Patient 1

THE DEVICE WAS DISCARDED BY THE USER AND IS NOT AVAILABLE FOR EVALUATION. THE DEVICE HISTORY RECORDS WERE REVIEWED FOR THIS LOT NUMBER AND THERE WERE NO DISCREPANCIES OR UNUSUAL FINDINGS THAT RELATE TO THE REPORTED EVENT. THE PATIENT'S PREEXISTING ADVANCED CATARACT WAS A SIGNIFICANT CONTRIBUTING FACTOR AND THERE WAS NO REPORT OF A DEVICE MALFUNCTION. CAPSULAR BAG DAMAGE AND VITREOUS LOSS ARE INHERENT RISKS OF CATARACT SURGERY. MANUFACTURER'S REFERENCE #: (B)(4).

D

Patient 1

A PATIENT WITH A DENSE 4+ BRUNESCENT CATARACT UNDERWENT CATARACT SURGERY IN THE LEFT EYE ON (B)(6) 2017 WHERE THE LEEP DEVICE WAS USED TO SECTION THE CATARACTOUS LENS INTO FRAGMENTS. AT SOME POINT DURING THE PHACOEMULSIFICATION PROCEDURE THE POSTERIOR CAPSULE TORE AND RESULTED IN VITREOUS LOSS. THE EVENT REQUIRED SECONDARY SURGICAL INTERVENTION TO PERFORM A VITRECTOMY AND INTRAOCULAR LENS (IOL) IMPLANTATION WAS DEFERRED FOR ONE WEEK WHEN A SCLERAL-FIXATED IOL WAS IMPLANTED WITHOUT INCIDENT. THERE WAS NO ADVERSE IMPACT ON THE PATIENT'S VISION AND NO SEQUELAE. THE SURGEON ATTRIBUTED THE EVENT TO THE PATIENT'S ADVANCED CATARACT. THE PATIENT WAS EXAMINED 3 MONTHS POSTOPERATIVELY AND THE PATIENT WAS DOING WELL WITH IMPROVED VISION.