MILOOP LENS FRAGMENTATION DEVICE FG-11881

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a company representative,health report with the FDA on 2018-09-05 for MILOOP LENS FRAGMENTATION DEVICE FG-11881 manufactured by Iantech, Inc..

Event Text Entries

[119151362] The device was returned to iantech, decontaminated, and subjected to visual inspection and mechanical functional testing. The visual inspection revealed no damage and the device performed as expected. The cause of the event remains undetermined, but the surgeon suspects that patient anatomy (possible adhesion) may have been a contributing factor. The device history records were reviewed for this manufacturing lot and there were no discrepancies or unusual findings that relate to the reported event. There was no report of a device malfunction and the evaluation findings revealed no device defect. Capsular bag damage is an inherent risk of cataract surgery. (b)(4).
Patient Sequence No: 1, Text Type: N, H10


[119151363] A patient underwent cataract surgery in the left eye on (b)(6) 2018 where the miloop device was used to section the cataractous lens into fragments. During the procedure the surgeon was unable to rotate the loop around the nucleus. The surgeon retracted the loop and cut off a lens portion from the side then proceeded to the phacoemulsification portion of the procedure. The surgeon noted that the capsular bag was floppy and after phacoemulsification the surgeon observed a diagonal posterior capsular tear, but there was no vitreous loss. A three-piece intraocular lens was implanted without incident. The surgeon suspects there may have been an adhesion that caught the loop and pulled the bag, possibly precipitating the capsular tear.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number3012123033-2018-00004
MDR Report Key7845090
Report SourceCOMPANY REPRESENTATIVE,HEALTH
Date Received2018-09-05
Date of Report2018-09-04
Date of Event2018-08-06
Date Mfgr Received2018-08-06
Device Manufacturer Date2018-03-26
Date Added to Maude2018-09-05
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 ContactJANE DEMKOVICH
Manufacturer Street8748 TECHNOLOGY WAY
Manufacturer CityRENO NV 89521
Manufacturer CountryUS
Manufacturer Postal89521
Manufacturer Phone7754731014
Manufacturer G1IANTECH, INC.
Manufacturer Street8748 TECHNOLOGY WAY
Manufacturer CityRENO NV 89521
Manufacturer CountryUS
Manufacturer Postal Code89521
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameMILOOP LENS FRAGMENTATION DEVICE
Generic NameOPHTHALMIC HOOK
Product CodeHNQ
Date Received2018-09-05
Returned To Mfg2018-08-15
Model NumberFG-11881
Lot NumberFG20180326-01
Device Expiration Date2019-03-25
OperatorHEALTH PROFESSIONAL
Device AvailabilityR
Device Eval'ed by MfgrY
Device Sequence No1
Device Event Key0
ManufacturerIANTECH, INC.
Manufacturer Address8748 TECHNOLOGY WAY RENO NV 89521 US 89521


Patients

Patient NumberTreatmentOutcomeDate
101. Required No Informationntervention 2018-09-05

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