BEUDAMED
    FDA Adverse Event Injury Summary report: N

    INTRALASE FS2

    MDR report key: 6459668 · Received April 5, 2017

    Report

    Report Number
    3006695864-2017-00209
    Event Type
    Injury
    Date Received
    April 5, 2017
    Date of Event
    March 3, 2017
    Report Date
    September 11, 2017
    Manufacturer
    ABBOTT MEDICAL OPTICS
    Product Code
    HNO
    PMA / PMN Number
    K060372
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    MN, US
    Reporter Occupation
    PHYSICIAN

    Narratives

    Additional Manufacturer Narrative · 1

    (B)(4). THE CLINIC IS REPORTING THIS ADVERSE EVENT ONLY AND DID NOT REQUEST OR REQUIRE FIELD SERVICE OR CLINICAL SUPPORT. ALL PERTINENT INFORMATION AVAILABLE TO ABBOTT MEDICAL OPTICS HAS BEEN SUBMITTED.

    Additional Manufacturer Narrative · 1

    ADDITIONAL INFORMATION: A CORPORATE REPRESENTATIVE FROM THE ACCOUNT CONTACTED TECHNICAL SUPPORT ON (B)(6) 2017 REPORTING SEVERAL ISSUES OF LOOSE EPITHELIUM FOLLOWING FLAP CREATION. APPLICATIONS SUPPORT MANAGER (ASM) VISITED THE SITE ON 8/18/2017SITE AND OBSERVED 24 EYES WITH NO EPITHELIAL ISSUES. DISCUSSED FLAP LIFT TECHNIQUE WITH SURGEON. GELLED THE SYSTEM AND MADE CHANGES TO BED ENERGY AND SIDE CUT ENERGY TO MAKE FLAP LIFT EASIER. SURGEON WAS PLEASED WITH THESE SETTINGS. TECHNICIAN WAS APPLYING 3-6 DROPS OF PROPARACAINE IN EACH EYE PRIOR TO THE PROCEDURE AND AGREES TO CHANGE AND USE ONE-TWO DROPS PER EYE INSTEAD. PER SURGEON¿S INFO EPITHELIAL ISSUES ARE NOT CONSISTENT AND OCCUR ON YOUNG PATIENTS AND OLDER. SOME HAVE CORNEAL DYSTROPHY THAT WOULD EXPLAIN THE PROBLEM BUT SOME HAVE NO PRE-EXISTING CONDITIONS. HE DOES NOT FEEL THE ISSUE IS CAUSED BY THE INTRALASE BUT FEELS HAVING AN EASIER FLAP LIFT WOULD DECREASE ANY EPITHELIAL DISRUPTION.

    Description of Event or Problem · 1

    THE SURGERY CENTER REPORTED THAT A LASER VISION CORRECTION PATIENT PRESENTED WITH LOOSE EPITHELIUM ON BOTH EYES (OU) AFTER TREATMENT ON THE SAME DAY. THE SURGERY CENTER NOTED THERE WAS LOOSER EPITHELIUM ON THE LEFT EYE (OS) THAN THE RIGHT EYE (OD).THE PATIENT COMPLAINED OF BLURRY VISION. THE PATIENT EXPERIENCED LOSS OF BEST CORRECTED VISUAL ACUITY AND THE EVENT IS LASTING AND DISABLING, SIGNIFICANTLY INTERFERING WITH DAILY ACTIVITIES. A BANDAGE CONTACT LENS (BCL) WAS PLACED ON LEFT EYE. THE SURGERY CENTER INDICATED THE PATIENT HAD SUBCLINICAL ANTERIOR BASEMENT MEMBRANE DYSTROPHY (ABMD) AND NOT RELATED TO THE LASER. PRE-OP BCVA FROM (B)(6) 2017: RIGHT EYE (OD) PRE-OP 20/20 -2.25 X -1.00 X 0, LEFT EYE (OS) PRE-OP 20/20 -1.75 X -1.00 X 11. POST-OP BCVA FROM (B)(6) 2017: RIGHT EYE (OD) POST-OP 20/30, LEFT EYE (OS) POST-OP 20/50.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    242024 INTRALASE FS2 FEMTOSECOND LASER HNO ABBOTT MEDICAL OPTICS 20003D

    Patients

    Seq Age Sex Outcome Treatment
    1 36 YR Other WAVELIGHT SERIAL NO. (B)(4)