IVANTIS HYDRUS MICROSTENT

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2020-03-26 for IVANTIS HYDRUS MICROSTENT manufactured by Ivantis, Inc..

Event Text Entries

[185482095] Hydrus microstent did not open when inserted into pts eye. Was then removed in whole by dr. Procedure completed. Spoke with operating room manager and the ophthalmologist about the incident. The instrument didn't deploy properly. No patient harm as per surgeon. He reported to the company and they are following up with him if there are any similar issues. So far negative response from the company. Fda safety report id # (b)(4).
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report NumberMW5093945
MDR Report Key9888453
Date Received2020-03-26
Date of Report2020-03-25
Date of Event2020-01-29
Date Added to Maude2020-03-27
Event Key0
Report Source CodeVoluntary report
Manufacturer LinkN
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Reporter OccupationPHARMACIST
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameIVANTIS HYDRUS MICROSTENT
Generic NameINTRAOCULAR PRESSURE LOWERING IMPLANT
Product CodeOGO
Date Received2020-03-26
Lot Number19900474
OperatorHEALTH PROFESSIONAL
Device AvailabilityN
Device Eval'ed by MfgrI
Device Sequence No1
Device Event Key0
ManufacturerIVANTIS, INC.
Manufacturer AddressIRVINE CA 92618 US 92618


Patients

Patient NumberTreatmentOutcomeDate
10 2020-03-26

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