FDA Adverse Event Other Summary report: N

MALYUGIN RING SYSTEM

MDR report key: 1474563 · Received September 14, 2009

Report

Report Number
3019924-2009-00003
Event Type
Other
Date Received
September 14, 2009
Date of Event
August 6, 2009
Report Date
September 12, 2009
Manufacturer
MICROSURGICAL TECHNOLOGY, INC.
Product Code
HNI
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
IL, US
Reporter Occupation
PHYSICIAN

Narratives

Additional Manufacturer Narrative · 1

THE SURGEON ELECTED NOT TO RETRIEVE THE RING. EARLY POST-OP EXAMINATION SHOWED VERY GOOD RESULTS.

Description of Event or Problem · 1

SURGEON USED MALYUGIN RING TO MANAGE IFIS CONDITION DURING CATARACT PROCEDURE. THE IOL UNFOLDED ON TOP OF THE IRIS AND WHEN IT WAS MANEUVERED INTO POSITION, IT DISENGAGED THE RING PUSHING IT POSTERIORLY AND TRAPPING IT BEHIND THE IOL.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 MALYUGIN RING SYSTEM IRIS RETRACTOR HNI MICROSURGICAL TECHNOLOGY, INC. MAL-0001 NOT PROVIDED

Patients

Seq Age Sex Outcome Treatment
1 95 YR Other