FDA Adverse Event Injury Summary report: N

BIO-EYE

MDR report key: 1546841 · Received November 25, 2009

Report

Report Number
2027377-2009-00002
Event Type
Injury
Date Received
November 25, 2009
Date of Event
October 15, 2009
Report Date
October 30, 2009
Manufacturer
INTEGRATED ORBITAL IMPLANTS
Product Code
HPZ
PMA / PMN Number
K982562
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
NJ, US
Reporter Occupation
NOT APPLICABLE

Narratives

Additional Manufacturer Narrative · 1

EXPOSURES ARE AN ANTICIPATED POSSIBLE COMPLICATION WITH THIS TYPE OF SURGERY. A REVIEW OF THE LITERATURE FINDS EXPOSURE RATES RANGING FROM 2.5% TO 21.6%. EXPOSURES DO NOT REQUIRE THE REMOVAL OF THE IMPLANT, SO THE IMPLANT WAS NOT EXPLANTED; SO IT COULD BE RETURNED FOR AN INVESTIGATION. PT'S MOTHER COMPLAINED TO MFR TO SEE WHAT ELSE COULD BE DONE. PT'S MOTHER DID NOT WANT THE DOCTOR CONTACTED, SO WE DON'T HAVE ANY WAY TO GET MORE COMPLETE INFO REGARDING EXACT PRODUCT MODEL, SIZE, LOT OR SERIAL NUMBER OF THE IMPLANT.

Description of Event or Problem · 1

PT'S MOTHER REPORTED THAT HER SON HAD RECEIVED AN ORBITAL IMPLANT IN 2005. THIS SUMMER THE OCULARIST NOTICED THAT THE IMPLANT WAS EXPOSED. PT HAD SURGERY IN 2009 TO TRY TO CORRECT THE EXPOSURE. PT AND DOCTOR UNHAPPY WITH THE RESULTS OF THE SURGERY TO CORRECT THE EXPOSURE. DEVICE WAS NOT EXPLANTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 BIO-EYE IMPLANT, EYE SPHERE HPZ INTEGRATED ORBITAL IMPLANTS NI NI

Patients

Seq Age Sex Outcome Treatment
1 21 YR Required Intervention