FDA Adverse Event Injury Summary report: N

HYDRUS® MICROSTENT

MDR report key: 12914199 · Received December 1, 2021

Report

Report Number
3016075957-2021-00051
Event Type
Injury
Date Received
December 1, 2021
Date of Event
November 1, 2021
Report Date
March 28, 2022
Manufacturer
IVANTIS INC.
Product Code
OGO
UDI-DI
00867487000134
PMA / PMN Number
P170034
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
WI, US
Reporter Occupation
PHYSICIAN
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

THE HYDRUS MICROSTENT REMAINS IMPLANTED IN THE PATIENT AND IS NOT AVAILABLE FOR EVALUATION. THE DEVICE LOT NUMBER IS UNKNOWN; THEREFORE, A REVIEW OF THE DEVICE HISTORY RECORDS COULD NOT BE CONDUCTED. DEVICE IDENTIFIERS HAVE BEEN REQUESTED; A SUPPLEMENTAL REPORT WILL BE FILED IF NEW INFORMATION IS RECEIVED. HYPHEMA, ELEVATED IOP, AND BLURRY VISION ARE LISTED IN THE INSTRUCTIONS FOR USE AS POTENTIAL ADVERSE EVENTS. MANUFACTURER REFERENCE #: (B)(4).

Additional Manufacturer Narrative · 0

THE HYDRUS MICROSTENT REMAINS IMPLANTED IN THE PATIENT AND IS NOT AVAILABLE FOR EVALUATION. THE DEVICE LOT NUMBER IS UNKNOWN; THEREFORE, A REVIEW OF THE DEVICE HISTORY RECORDS COULD NOT BE CONDUCTED. DEVICE IDENTIFIERS HAVE BEEN REQUESTED; A SUPPLEMENTAL REPORT WILL BE FILED IF NEW INFORMATION IS RECEIVED. HYPHEMA, ELEVATED IOP, AND BLURRY VISION ARE LISTED IN THE INSTRUCTIONS FOR USE AS POTENTIAL ADVERSE EVENTS. MANUFACTURER REFERENCE #: (B)(4).

Additional Manufacturer Narrative · 0

SECTION H6: INCLUDED HEALTH EFFECT CLINICAL CODE 1937 - INTRAOCULAR PRESSURE INCREASED. MANUFACTURER REFERENCE #: (B)(4).

Description of Event or Problem · 0

THE PATIENT UNDERWENT CATARACT SURGERY WITH AB-INTERNO CANALOPLASTY FOLLOWED BY HYDRUS MICROSTENT IMPLANTATION. THE PATIENT WAS ON ORAL ANTICOAGULANT THERAPY WHICH WAS DISCONTINUED PRIOR TO SURGERY. ON POST-OPERATIVE DAY 1, THE PATIENT PRESENTED WITH IOP OF 35 MMHG (ON THREE IOP-LOWERING MEDICATIONS) AND A SMALL INFERIOR-NASAL LAYERED HYPHEMA WITH 4+ RED BLOOD CELLS. IN OFFICE, THE PATIENT RECEIVED DOSING OF 3 IOP-LOWERING MEDICATIONS WHICH RESULTED IN LOWERED IOP TO 30MMHG AT SUBSEQUENT FOLLOW-UP; VISION FLUCTUATED OVER THE NEXT FEW DAYS. AT 1-WEEK FOLLOW-UP, THE HYPHEMA WAS RESOLVING AND THE MEDICATED IOP WAS NOTED TO BE THE SAME AS THE NONOPERATIVE FELLOW EYE.

Description of Event or Problem · 0

THE PATIENT UNDERWENT CATARACT SURGERY WITH AB-INTERNO CANALOPLASTY FOLLOWED BY HYDRUS MICROSTENT IMPLANTATION. THE PATIENT WAS ON ORAL ANTICOAGULANT THERAPY WHICH WAS DISCONTINUED PRIOR TO SURGERY. ON POST-OPERATIVE DAY 1, THE PATIENT PRESENTED WITH IOP OF 35 MMHG (ON THREE IOP-LOWERING MEDICATIONS) AND A SMALL INFERIOR-NASAL LAYERED HYPHEMA WITH 4+ RED BLOOD CELLS. IN OFFICE, THE PATIENT RECEIVED DOSING OF 3 IOP-LOWERING MEDICATIONS WHICH RESULTED IN LOWERED IOP TO 30MMHG AT SUBSEQUENT FOLLOW-UP; VISION FLUCTUATED OVER THE NEXT FEW DAYS. AT 1-WEEK FOLLOW-UP, THE HYPHEMA WAS RESOLVING AND THE MEDICATED IOP WAS NOTED TO BE THE SAME AS THE NONOPERATIVE FELLOW EYE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1805000 HYDRUS® MICROSTENT INTRAOCULAR PRESSURE LOWERING IMPLANT OGO IVANTIS INC. F00022 00867487000134

Patients

Seq Age Sex Outcome Treatment
1 74 YR Male Required Intervention ANTICOAGULANT - ELIQUIS (UNKNOWN DOSAGE AND DATES)