HYDRUS MICROSTENT F00022

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 2020-02-21 for HYDRUS MICROSTENT F00022 manufactured by Ivantis, Inc..

Event Text Entries

[188013123] Device identifiers have been requested. Iop elevation is listed in the device labeling as a potential adverse event. (b)(4).
Patient Sequence No: 1, Text Type: N, H10


[188013124] The surgeon reports that some of his hydrus microstent patients have had postoperative intraocular pressure (iop) spikes and variable results. Additional information has been requested to understand the number of patients/devices involved and event details.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number3007683266-2020-00007
MDR Report Key9742224
Report SourceCOMPANY REPRESENTATIVE,HEALTH
Date Received2020-02-21
Date of Report2020-02-21
Date Mfgr Received2020-01-28
Date Added to Maude2020-02-21
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 ContactHELENE SPENCER
Manufacturer Street201 TECHNOLOGY
Manufacturer CityIRVINE, CA
Manufacturer CountryUS
Manufacturer Phone6009650130
Manufacturer G1IVANITS, INC.
Manufacturer Street38 DISCOVERY SUITE 150
Manufacturer CityIRVINE, CA
Manufacturer CountryUS
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameHYDRUS MICROSTENT
Generic NameINTRAOCULAR PRESSURE LOWERING IMPLANT
Product CodeOGO
Date Received2020-02-21
Model NumberF00022
Catalog NumberF00022
OperatorHEALTH PROFESSIONAL
Device AvailabilityN
Device Eval'ed by MfgrR
Device Sequence No1
Device Event Key0
ManufacturerIVANTIS, INC.
Manufacturer Address201 TECHNOLOGY IRVINE, CA US


Patients

Patient NumberTreatmentOutcomeDate
101. Required No Informationntervention 2020-02-21

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