FDA Adverse Event Malfunction Summary report: N

ISTENT TRABECULAR MICRO-BYPASS

MDR report key: 3871929 · Received April 17, 2014

Report

Report Number
2032546-2014-00010
Event Type
Malfunction
Date Received
April 17, 2014
Date of Event
March 20, 2014
Report Date
March 20, 2014
Manufacturer
GLAUKOS CORP.
Product Code
OGO
PMA / PMN Number
P080030
Removal / Correction Number
NA
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
MI, US
Reporter Occupation
PHYSICIAN

Narratives

Additional Manufacturer Narrative · 1

THE STENT REMAINS IN THE PT AND IS NOT AVAILABLE FOR EVAL. THE DEVICE IDENTIFIERS HAVE BEEN REQUESTED. STENT MALPOSITION IS LISTED IN THE DEVICE LABELING AS A KNOWN INHERENT RISK OF GLAUCOMA STENT SURGERY. (B)(4).

Description of Event or Problem · 1

THE SURGEON REPORTED THAT THE ISTENT WAS IMPLANTED SUPERFICIALLY. WHEN THE SURGEON WENT TO REGRASP THE STENT AFTER CLEARING THE BLOOD, THE STENT WAS NOT THERE, PRESUMABLY LOST IN THE IATROGENICALLY RECESSED ANGLE. NO PT INJURY WAS REPORTED. ADD'L INFO HAS BEEN REQUESTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
236846 ISTENT TRABECULAR MICRO-BYPASS INTRAOCULAR PRESSURE LOWERING IMPLANT OGO GLAUKOS CORP. UNK UNK

Patients

Seq Age Sex Outcome Treatment
1 UNK