FDA Adverse Event Injury Summary report: N

HYDRUS MICROSTENT

MDR report key: 21535573 · Received March 6, 2025

Report

Report Number
3016075957-2025-00010
Event Type
Injury
Date Received
March 6, 2025
Report Date
May 29, 2025
Manufacturer
IVANTIS INC
Product Code
OGO
PMA / PMN Number
P170034
Removal / Correction Number
NA
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
AS
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

HONG Z, JOINER DW, ATIK A. REMOVAL OF HYDRUS MICROSTENT DUE TO UVEITIS-GLAUCOMA-HYPHEMA SYNDROME. J FR OPHTALMOL. 2023 APR; 46(4): 413. INVESTIGATION INCLUDING ROOT CAUSE ANALYSIS IS IN PROGRESS. A SUPPLEMENTAL MDR WILL BE FILED AS NECESSARY IN ACCORDANCE WITH 21 CFR 803.56 WHEN ADDITIONAL REPORTABLE INFORMATION BECOMES AVAILABLE. THE MANUFACTURER INTERNAL REFERENCE NUMBER IS: (B)(4).

Additional Manufacturer Narrative · 0

A SAMPLE WAS NOT RECEIVED AT THE INVESTIGATION SITE FOR EVALUATION FOR THE REPORT OF VISUAL ACUITY WAS 20/80, INTRAOCULAR PRESSURE WAS 34 MMHG, IRISTRANSILLUMINATION DEFECT, REMOVAL OF THE HMS, PULLING THROUGH THE TRABECULAR MESHWORK, AND RIGHT EYE DISCOMFORT SIX MONTHS AFTER CATARACT SURGERY; THEREFORE, THE CONDITION OF THE PRODUCT COULD NOT BE VERIFIED. NO LOT NUMBER WAS IDENTIFIED WITH THIS COMPLAINT; THEREFORE, A DEVICE HISTORY RECORD REVIEW COULD NOT BE CONDUCTED. THEREFORE, THE ROOT CAUSE FOR THE CUSTOMER COMPLAINT ISSUE CANNOT BE DETERMINED. THE MANUFACTURER INTERNAL REFERENCE NUMBER IS: (B)(4).

Description of Event or Problem · 0

A HEALTHCARE PROFESSIONAL VIA LITERATURE ARTICLE REPORTED THAT AFTER A STENT IMPLANT PROCEDURE PATIENT HAD PRESENTED WITH PERSISTENT RIGHT EYE DISCOMFORT SIX MONTHS AFTER CATARACT SURGERY. ON EXAMINATION, VISUAL ACUITY WAS 20/80 AND INTRAOCULAR PRESSURE WAS 34 MMHG. THERE WAS 2+ RED AND WHITE BLOOD CELLS IN THE ANTERIOR CHAMBER AND A LINEAR IRIS TRANSILLUMINATION DEFECT CONSISTENT WITH THE OUTER EDGE OF AN INCOMPLETELY IMPLANTED STENT. REMOVAL OF THE STENT WAS PERFORMED WITH A PERIBULBAR BLOCK. AN UNSUCCESSFUL ATTEMPT WAS MADE TO REMOVE THE STENT IN THE DIRECTION OF ITS INITIAL INSERTION. THE STENT WAS THUS REMOVED BY PULLING THROUGH THE TRABECULAR MESHWORK, RESULTING IN A LIMITED TRABECULOTOMY.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
536480 HYDRUS MICROSTENT INTRAOCULAR PRESSURE LOWERING IMPLANT OGO IVANTIS INC NA ASKU

Patients

Seq Age Sex Outcome Treatment
1 63 YR Female Required Intervention| O