FDA Adverse Event Injury Summary report: N

NOVUS OMNI ARGON LASER

MDR report key: 681838 · Received March 6, 2006

Report

Report Number
2914019-2006-00057
Event Type
Injury
Date Received
March 6, 2006
Date of Event
November 5, 2002
Report Date
March 5, 2006
Manufacturer
COHERENT MEDICAL GROUP
Product Code
GEX
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Occupation
PATIENT

Narratives

Description of Event or Problem · 1

PATIENT WENT TO RETINA CLINIC FOR TREATMENT OF INCREASING DISTORTION IN HIS VISION FROM SCARRING THAT RESULTED FROM EARLIER SURGERIES. LASER SURGERY WAS PERFORMED 2002. THE PATIENT ALLEGES THAT WHILE THE DR WAS SETTING UP THE LASER EQUIPMENT, THE LASER UNEXPECTEDLY FIRED. THE PATIENT HEARD A LOUD NOISE AND HAD A BLINDING FLASH IN HIS EYE. SIMULTANEOUSLY A BLACK SPIKE APPEARED IN HIS CENTRAL VISION AND THAT THE LASER BEAM HIT THE PATIENT'S RETINA , SEVERING NERVE FIBERS LEADING TO HIS CENTRAL VISION. THIS RESULTED IN A PERMANENT WEDGE-SHAPED BLIND SPOT IN THE PATIENT'S LEFT EYE EXTENDING TO THE EXACT CENTER OF HIS VISION. PATIENT FEELS THE DR APPARENTLY TREATED A LARGER AREA THAN HE HAD AGREED TO DO BEFORE THE SURGERY. THIS LEFT A LARGE BLIND SPOT IMMEDIATELY BELOW THE PATIENT'S CENTER OF VISION AND PERMANTLEY DISTORTED HIS CENTRAL VISION.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 NOVUS OMNI ARGON LASER OPHTHALMIC LASERS GEX COHERENT MEDICAL GROUP * *

Patients

Seq Age Sex Outcome Treatment
1 * Other