ARGUS II RETINAL PROSTHESIS 011015-001-K 011015

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a foreign,health professional report with the FDA on 2019-03-14 for ARGUS II RETINAL PROSTHESIS 011015-001-K 011015 manufactured by Second Sight Medical Products, Inc..

Event Text Entries

[138893427] All pertinent information available to second sight medical products, inc. 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


[138893428] This patient was implanted with the argus ii device on (b)(6) 2018. It was reported that this patient was diagnosed with high intraoccular pressure in the implanted eye. The patient was prescribed steroid treatment. On (b)(6) 2018, the surgeon determined that surgical intervention was required. On (b)(6) 2019, patient underwent a surgical intervention during which laser cyclophotocoagulation of the ciliary body was performed. On (b)(6) 2019, it was reported that the issue was resolved. 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 Number3004081696-2019-00002
MDR Report Key8423266
Report SourceFOREIGN,HEALTH PROFESSIONAL
Date Received2019-03-14
Date of Report2019-02-12
Date of Event2018-12-20
Date Mfgr Received2019-02-12
Device Manufacturer Date2017-06-21
Date Added to Maude2019-03-14
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 ContactPUNITA CHRISTOPHER
Manufacturer Street12744 SAN FERNANDO RD. SUITE 400
Manufacturer CitySYLMAR CA 91342
Manufacturer CountryUS
Manufacturer Postal91342
Manufacturer Phone8188334119
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
Event Type3
Type of Report3

Device Details

Brand NameARGUS II RETINAL PROSTHESIS
Generic NameRETINAL PROSTHESIS
Product CodeNBF
Date Received2019-03-14
Model Number011015-001-K
Catalog Number011015
Lot NumberN/A
OperatorHEALTH PROFESSIONAL
Device AvailabilityN
Device Eval'ed by MfgrR
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 2019-03-14

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