FDA Adverse Event Injury Summary report: N

ICL (IMPLANTABLE COLLAMER LENS)

MDR report key: 1002517 · Received February 26, 2008

Report

Report Number
2023826-2008-00250
Event Type
Injury
Date Received
February 26, 2008
Report Date
January 28, 2008
Manufacturer
STAAR SURGICAL
Product Code
HQL
PMA / PMN Number
P030016
Removal / Correction Number
NA
Adverse Event
Yes
Product Problem
Yes
Report Source
Manufacturer report
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

CONCLUSION: AT THE CONCLUSION OF THE ORIGINAL INVESTIGATION OPENED FOR THE ISSUE OF ICL VAULTING (BOTH INADEQUATE AND EXCESSIVE), IT WAS DETERMINED THAT THE MOST LIKELY ROOT CAUSE FOR BOTH INADEQUATE AND EXCESSIVE VAULT IS DIFFICULTY IN CLINICAL SIZING. IN NO CASE HAS A RETURNED LENS EXHIBITED A LENGTH MEASUREMENT OUTSIDE THE EXPECTED RANGE ACCORDING TO THE LABELED LENGTH. PRE-OPERATIVE MEASUREMENT TECHNOLOGY AVAILABLE TO CLINICIANS IN THE PAST DID NOT PROVIDE A DIRECT MEASUREMENT OF THE SULEUS, TO WHICH THE ICL SHOULD BE SIZED. THE CURRENT PRACTICE IN SELECTING AN APPROPRIATE ICL FOR A PATIENT IS TO MEASURE WHITE-TO-WHITE AND ANTERIOR CHAMBER DEPTH, AND THROUGH CORRELATIVE ALGORITHM PREDICT THE LENGTH OF THE ICL THAT WILL BRIDGE THE SULEUS. THIS METHOD OF SIZING BASED UPON WHITE-TO-WHITE ANTERIOR CHAMBER DEPTH MEASUREMENTS WAS USED IN THE FDA CLINICAL TRIAL AND IS RECOMMENDED IN THE CURRENT LABELING OF THE ICL. IF THE PREDICTED LENGTH IS TOO SHORT, THE RESULT MAY BE AN INADEQUATE VAULT. IF PREDICTED LENGTH IS TOO LONG, THE RESULT MAY BE AN EXCESSIVE VAULT. EVALUATION NEWLY AVAILABLE, ALTERNATE MEASURING DEVICES IS ONGOING.

Description of Event or Problem · 1

THE REPORTER STATED THAT THE SURGEON INSERTED AN ICL IMPLANTABLE COLLAMER LENS MODEL MICL 12.0MM IN 2007, AND EXPLANTED AND EXCHANGED THE LENS FOR TORIC IMPLANTABLE COLLAMER LENS MODEL TICM 12.0MM DUE TO ASTIGMATISM AND UNDERCORRECTION.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 ICL (IMPLANTABLE COLLAMER LENS) INTRAOCULAR LENS HQL STAAR SURGICAL ICM120V4 NA

Patients

Seq Age Sex Outcome Treatment
1 YR Required Intervention INJECTOR MODEL: UNK LOT NUMBER: UNK| CARTRIDGE MODEL: UNK LOT NUMBER: UNK| FOAM TIP PLUNGER: UNK LOT NUMBER: UNK