FDA Adverse Event Injury Summary report: N

UNKNOWN

MDR report key: 10646378 · Received October 7, 2020

Report

Report Number
1000125279-2020-00026
Event Type
Injury
Date Received
October 7, 2020
Date of Event
September 9, 2020
Report Date
September 9, 2020
Manufacturer
NEW WORLD MEDICAL, INC.
Product Code
KYF
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Occupation
003

Narratives

Additional Manufacturer Narrative · 1

NEW WORLD MEDICAL (NWM) REVIEWED A SOCIAL MEDIA POST ON SEPTEMBER 9, 2020, USER INDICATED THAT A BULGE WAS PRESENT WHERE A POSSIBLE NWM DEVICE WAS IMPLANTED. NWM IS UNABLE TO DETERMINE WHETHER THE DEVICE IMPLANTED WAS MANUFACTURED BY THE COMPANY. NO SPECIFICS OF THE ISSUE REPORTED CAN BE DETERMINED AS CUSTOMER INFORMATION WAS NOT PROVIDED FOR FOLLOW UPS. NO INFORMATIN PROVIDED ON DEVICE IMPLANTED, LOT NUMBER NOR SERIAL NUMBER.

Description of Event or Problem · 1

ON NEW WORLD MEDICAL (NWM)'S SOCIAL MEDIA PLATFORM, A USER CREATED A POST , IN WHICH IT WAS INDICATED A BULGE IS PRESENT WHERE THE DEVICE HAS BEEN IMPLANTED. 3 WEEKS POST-OP, USER CLAIMED THAT VISION IS WORSE THAN BEFORE THE DEVICE WAS IMPLANTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1104960 UNKNOWN UNKNOWN KYF NEW WORLD MEDICAL, INC. UNKNOWN UNKNOWN

Patients

Seq Age Sex Outcome Treatment
1 Other