ISTENT INJECT TRABECULAR MICRO BYPASS SYSTEM G2-M-IS

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 2020-01-09 for ISTENT INJECT TRABECULAR MICRO BYPASS SYSTEM G2-M-IS manufactured by Glaukos Corporation.

Event Text Entries

[174600762] Additional information: the device was not available; therefore, product testing on the actual device could not be performed. The device identifiers were not provided; therefore, the device history records for this device lot number could not be reviewed. A review of the device labeling was completed. Elevated iop is identified in the labeling as a known inherent risk of trabecular micro-bypass stent procedure. The ifu adequately provides instructions for stent implantation, precautions, and warnings for the proper use and handling of the device. An adverse event appears to have occurred, but the information received does not suggest a problem with the device or the way it was used. Based on the information received, the root cause of the reported event was likely due to cessation of steroids. (b)(4).
Patient Sequence No: 1, Text Type: N, H10


[174600763] It was reported that following cataract plus trabecular micro bypass stent system, the patient presented with iop spike approximately one (1) week postoperatively. The patient was prescribed glaucoma medication (alphagan) and the iop decreased subsequently. Per report, the surgeon acknowledged that steroids cessation at day one (1) postop likely contributed to the iop spike. The stents were reportedly in good position following via gonio examination. Additional information has been requested.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number2032546-2020-00007
MDR Report Key9570354
Report SourceCOMPANY REPRESENTATIVE,HEALTH
Date Received2020-01-09
Date of Report2020-01-09
Date of Event2019-12-20
Report Date2005-01-01
Date Reported to FDA2005-01-01
Date Reported to Mfgr2005-01-10
Date Mfgr Received2019-12-20
Date Added to Maude2020-01-09
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 ContactMRS. BRITTANY MASSEY
Manufacturer Street229 AVENIDA FABRICANTE
Manufacturer CitySAN CLEMENTE CA 92672
Manufacturer CountryUS
Manufacturer Postal92672
Manufacturer Phone949367960
Manufacturer G1GLAUKOS CORPORATION
Single Use0
Previous Use Code0
Event Type3
Type of Report3

Device Sequence Number: 1

Brand NameISTENT INJECT TRABECULAR MICRO BYPASS SYSTEM
Generic NameINTRAOCULAR PRESSURE LOWERING IMPLANT
Product CodeOGO
Date Received2020-01-09
Model NumberG2-M-IS
OperatorHEALTH PROFESSIONAL
Device AvailabilityN
Device Sequence No1
Device Event Key0
ManufacturerGLAUKOS CORPORATION
Manufacturer Address229 AVENIDA FABRICANTE SAN CLEMENTE CA 92672 US 92672

Device Sequence Number: 101

Brand NameACETAMINOPHEN 500MG
Product Code---
Date Received2020-01-09
Device Sequence No101
Device Event Key0
ManufacturerMANUFACTURE / COMPOUNDER NAME


Patients

Patient NumberTreatmentOutcomeDate
101. Required No Informationntervention 2020-01-09

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