FDA Adverse Event
Injury
Summary report: N
ALLEGRETTO WAVE EYE-Q
MDR report key: 2960327
·
Received February 8, 2013
Report
- Report Number
- 3003288808-2013-00034
- Event Type
- Injury
- Date Received
- February 8, 2013
- Date of Event
- January 3, 2013
- Report Date
- January 10, 2013
- Manufacturer
- WAVELIGHT GMBH
- Product Code
- LZS
- PMA / PMN Number
- P030008
- Removal / Correction Number
- NA
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- MO, US
- Reporter Occupation
- OTHER
Narratives
Additional Manufacturer Narrative · 1
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 INFO BECOMES AVAILABLE. (B)(4).
Description of Event or Problem · 1
A SURGEON REPORTED THAT A PT'S DRY EYE SYMPTOMS HAVE WORSENED IN BOTH EYES SINCE HAVING BILATERAL LASIK. THIS REPORT CONCERNS THE PT'S LEFT EYE. THE PT WAS INFORMED PRIOR TO SURGERY THAT HER DRY EYES MAY BE MADE WORSE AFTER LASIK. THE PT HAD BEEN REFERRED TO A CORNEAL SPECIALIST AND IS ON SEVERAL TREATMENTS FROM THAT DOCTOR. THE PT WAS INFORMED THAT DRY EYE SYNDROME IS A CHRONIC CONDITION WHICH MUST BE MANAGED OVER THE LONG TERM, BUT WILL NEVER GO AWAY.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 54099 | ALLEGRETTO WAVE EYE-Q | OPTHALMIC EXCIMER LASER SYSTEM | LZS | WAVELIGHT GMBH | 8065990601 | NA |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 56 YR | Required Intervention | INTRALASE |