FDA Adverse Event
Injury
Summary report: N
RAINDROP IMPLANT
MDR report key: 10677263
·
Received October 13, 2020
Report
- Report Number
- MW5097214
- Event Type
- Injury
- Date Received
- October 13, 2020
- Report Date
- October 9, 2020
- Manufacturer
- REVISION / RVO 2.0, INC.
- Product Code
- LQE
- Adverse Event
- Yes
- Product Problem
- Yes
- Report Source
- Voluntary report
- Reporter Location
- TX, US
- Reporter Occupation
- PATIENT
Narratives
Description of Event or Problem · 1
LOSS OF VISION; NOTICE VISION BECOMING BLURRY, HAZY. WENT TO SEE (B)(6) EYE CENTER WHERE I HAD THE RAIN DROP SURGERY PERFORMED. I HAVE DEVELOPED CORNEA SCAR TISSUE BELOW AND ABOVE DUE TO THIS DEVICE, THE RAINDROP SURGERY I HAD IN 2017. FOUND OUT IT WAS TAKEN OFF MARKET 10/22/2018 DUE TO THE COMPLICATION IT HAS CAUSED PATIENTS; 4 OUT OF 5 SURGERIES HAVE BEEN PERFORMED TO THIS ISSUE. MY VISION HAS WORSENED AND I WAS NEVER CONTACTED ABOUT THIS RECALL. I AM SEEKING MY FULL MONEY BACK, (B)(6) AND AM HOPEFUL AFTER MY RECENT REMOVAL OF THIS DEVICE, I WON'T CONTINUE TO GET MORE SCAR TISSUE. I HAD SURGERY FOR REMOVAL ON (B)(6) 2020. FDA SAFETY REPORT ID# (B)(4).
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1134316 | RAINDROP IMPLANT | IMPLANT, CORNEAL, REFRACTIVE | LQE | REVISION / RVO 2.0, INC. | I DON'T KNOW | I DON'T KNOW |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 57 YR | Other |