FDA Adverse Event Injury Summary report: N

MALYUGIN RING SYSTEM

MDR report key: 4193851 · Received October 9, 2014

Report

Report Number
3019924-2014-00044
Event Type
Injury
Date Received
October 9, 2014
Date of Event
September 12, 2014
Report Date
October 9, 2014
Manufacturer
MICROSURGICAL TECHNOLOGY, INC.
Product Code
HOC
Adverse Event
Yes
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
OR, US
Reporter Occupation
NOT APPLICABLE

Narratives

Additional Manufacturer Narrative · 1

UPON FURTHER INVESTIGATION WITH THE FACILITY, IT WAS REPORTED THAT THE SURGEON ATTEMPTED TO RETRACT THE MALYUGIN RING INTO THE INSERTER BY GRASPING THE STRUT OF THE RING WITH THE MANIPULATOR WHICH PUTS UNDUE STRESS ON THE GLUE JOINT. THE DIRECTIONS FOR USE INSTRUCT THE USER TO RETRACT THE RING BY GRASPING THE SCROLL OF THE RING.

Description of Event or Problem · 1

THE DISTRIBUTOR REPORTED THAT WHEN THE SURGEON ATTEMPTED TO REMOVE THE MALYUGIN RING AT THE END OF CATARACT SURGERY THE RING BROKE AT THE GLUE JOINT CAUSING A CAPSULE BREAK. POST-OP THE PATIENT WAS REPORTED TO BE DOING FINE WITH NO ILL EFFECTS FROM THE SURGERY.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
636822 MALYUGIN RING SYSTEM IRIS CLIP RETRACTOR HOC MICROSURGICAL TECHNOLOGY, INC. MAL-0001-1 043041

Patients

Seq Age Sex Outcome Treatment
1 Other