FDA Adverse Event Other Summary report: N

MALYUGIN RING SYSTEM

MDR report key: 3350061 · Received September 10, 2013

Report

Report Number
3019924-2013-00032
Event Type
Other
Date Received
September 10, 2013
Date of Event
August 13, 2013
Report Date
September 4, 2013
Manufacturer
MICROSURGICAL TECHNOLOGY
Product Code
HOC
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
PA, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

THE ADVICE TO THE FACILITY WAS TO REMOVE THE RING FROM THE EYE. ONE DAY POST-OP THE PT EXAMINATION WAS UNREMARKABLE AND THE SURGEON WAS NOT SURE OF THE LOCATION OF THE RING AND THE PT WAS REFERRED TO A RETINAL DOCTOR. THE SURGEON INDICATED THAT DUE TO THE PT'S MEDICAL HISTORY AND ONGOING MEDICAL OUTLOOK THAT THE RISK OF REMOVING THE RING WAS NOT SOMETHING THAT HE WISHED TO PURSUE.

Description of Event or Problem · 1

THE FACILITY REPORTED THAT WHEN THE SURGEON WAS INSERTING AND POSITIONING THE IOL THE TRAILING HAPTIC CAUGHT THE RING AND PULLED IT POSTERIORLY INTO THE SULCUS. THE SURGEON CHOSE TO LEAVE THE RING IN PLACE AND DID NOT REMOVE IT FROM THE EYE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
452177 MALYUGIN RING SYSTEM IRIS CLIP HOC MICROSURGICAL TECHNOLOGY MAL-0001 UNKNOWN

Patients

Seq Age Sex Outcome Treatment
1 Other