FDA Adverse Event Injury Summary report: N

ICL (IMPLANTABLE COLLAMER LENS)

MDR report key: 1060618 · Received June 13, 2008

Report

Report Number
2023826-2008-00807
Event Type
Injury
Date Received
June 13, 2008
Date of Event
March 22, 2008
Report Date
May 23, 2008
Manufacturer
STAAR SURGICAL
Product Code
MTA
PMA / PMN Number
P030016
Removal / Correction Number
NA
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
KS
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

EVALUATION: CONCLUSIONS: 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 SULCUS, TO WHICH THE ICL SHOULD BE SIZED. THE CURRENT PRACTICE IN SELECTING AN APPROPRIATE ICL FOR A PT IS TO MEASURE WHITE-TO-WHITE AND ANTERIOR CHAMBER DEPTH AND, THROUGH CORRELATIVE ALGORITHMS, PREDICT THE LENGTH OF THE ICL THAT WILL BRIDGE THE SULCUS. THIS METHOD OF SIZING BASED UPON WHITE-TO-WHITE AND ANTERIOR CHAMBER DEPTH MEASUREMENTS WAS USED IN THE 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.

Description of Event or Problem · 1

THE REPORTER STATED THAT THE SURGEON IMPLANTED A ICL (IMPLANTABLE COLLAMER LENS) MODEL ICM 12.0V4 MM IN 2008, AND EXPLANTED THE LENS THE NEXT DAY, DUE TO AN EXCESSIVE VAULT OF THE LENS WHICH WAS CAUSING A SHALLOWING OF THE ANTERIOR CHAMBER DEPTH. IT WAS REPLACED WITH A SHORTER LENS.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 ICL (IMPLANTABLE COLLAMER LENS) INTRAOCULAR LENS MTA STAAR SURGICAL ICM 120V4 NA

Patients

Seq Age Sex Outcome Treatment
1 Required Intervention CARTRIDGE: SFC-45FP| FOAM TIP PLUNGER: FTP| INJECTOR MODEL: MSI-PF