FDA Adverse Event Injury Summary report: N

HYDRUS MICROSTENT

MDR report key: 21864986 · Received April 18, 2025

Report

Report Number
3016075957-2025-00019
Event Type
Injury
Date Received
April 18, 2025
Report Date
June 27, 2025
Manufacturer
IVANTIS INC
Product Code
OGO
PMA / PMN Number
P170034
Removal / Correction Number
NA
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
JA
Reporter Occupation
PHYSICIAN
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

LITERATURE CITATION: FEA AM, AHMED II, LAVIA C, MITTICA P, CONSOLANDI G, MOTOLESE I, PIGNATA G, MOTOLESE E, ROLLE T, FREZZOTTI P. HYDRUS MICROSTENT COMPARED TO SELECTIVE LASER TRABECULOPLASTY IN PRIMARY OPEN ANGLE GLAUCOMA: ONE YEAR RESULTS. CLIN EXP OPHTHALMOL. 2017 MAR;45(2):120-127. 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 INVESTIGATION SITE FOR EVALUATION FOR THE REPORT OF VITREOUS HEMORRHAGE IN 1 EYE (2.7%) AS PER LITERATURE; 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 REPORTED VIA LITERATURE ARTICLE TO EVALUATE SUCCESS RATE OF TRABECULAR STENT GLAUCOMA PLACEMENT DURING THE INTRODUCTORY PHASE. THIS FILE DESCRIBES ABOUT VITREOUS HEMORRHAGE IN ONE EYE (2.7%). FEA AM, AHMED II, LAVIA C, MITTICA P, CONSOLANDI G, MOTOLESE I, PIGNATA G, MOTOLESE E, ROLLE T, FREZZOTTI P. HYDRUS MICROSTENT COMPARED TO SELECTIVE LASER TRABECULOPLASTY IN PRIMARY OPEN ANGLE GLAUCOMA: ONE YEAR RESULTS. CLIN EXP OPHTHALMOL. 2017 MAR;45(2):120-127.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1732513 HYDRUS MICROSTENT INTRAOCULAR PRESSURE LOWERING IMPLANT OGO IVANTIS INC NA ASKU

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown Other