FDA Adverse Event Injury Summary report: N

OPHTEC

MDR report key: 6888191 · Received September 22, 2017

Report

Report Number
8040449-2017-10001
Event Type
Injury
Date Received
September 22, 2017
Date of Event
February 9, 2017
Report Date
September 22, 2017
Manufacturer
OPHTEC
Product Code
HQL
PMA / PMN Number
P030028
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
FL, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

THE EXPLANTED IOL WAS RECENTLY RETURNED TO OPHTEC FOR INVESTIGATION. INVESTIGATION CONFIRMS THAT THE EXPLANTED IOL IS A LENS MODEL 204001W. THE OPTIC OF THE RETURNED PRODUCT IS DAMAGED. THIS DAMAGE IS LIKELY CAUSED BY THE SURGEON DURING EXPLANTATION WHILE HE TRIED TO CUT THE PIOL IN TWO. IT IS DEFINITELY NOT MANUFACTURING RELATED. ONE OF THE SO CALLED CLAWS (HAPTIC) IS BENT/OVERSTRETCHED. THE TYPE OF DAMAGE TO THE CLAW IS TYPICALLY CAUSED BY HANDLING OF THE SURGEON DURING EXPLANTATION. A PIOL WITH THIS TYPE OF CLAW DAMAGE WOULD NOT HAVE BEEN PROPERLY FIXATED IN THE EYE FOR 19 YEARS. IT CAN THEREFORE BE CONCLUDED THAT THE BENT CLAW IS CAUSED DURING THE EXPLANTATION. APART FROM DAMAGE OBSERVED, PRODUCT MEETS SPECIFICATIONS. BASED ON INFORMATION AVAILABLE IT CANNOT BE DETERMINED WHAT HAS CAUSED THE SUBLUXATION. TYPICALLY THESE EVENTS OCCUR AFTER A BLUNT TRAUMA TO THE HEAD OR IN THE EARLY POST-OP PHASE DUE TO AN INSUFFICIENT AMOUNT OF IRIS BEING HOLD BY THE CLAW (SURGERY RELATED). SUBLUXATIONS ARE USUALLY TREATED BY RE-ENCLAVATING THE CLAW TO THE IRIS. IT IS NOT KNOWN WHY THE SURGEON DECIDED TO EXPLANT THE PIOL INSTEAD OF REFIXATING IT.

Additional Manufacturer Narrative · 1

(B)(6) WAS REPORTED TO OPHTEC (B)(4) (MANUFACTURER) ON APRIL 19, 2017. THE EVENT OCCURRED ON (B)(6) 2017, HOWEVER, THE LOCAL HOSPITAL INITIALLY REPORTED THIS EVENT TO (B)(6) AUTHORITIES. ONCE THE EVENT WAS RECEIVED AND PROCESSED BY (B)(6), THEY CONTACTED THE MANUFACTURER. THEREFORE, THERE WAS A 2 MONTH DELAY IN REPORTING THIS EVENT TO THE MANUFACTURER. ONCE THE INVESTIGATION OF THE COMPLAINT WAS COMPLETED BY THE MANUFACTURER (OPHTEC (B)(4)), THE EVENT WAS CLASSIFIED AS A REPORTABLE EVENT.

Description of Event or Problem · 1

THE PHAKIC INTRAOCULAR LENS WAS EXPLANTED FOLLOWING A SUBLUXATION AFTER APPROXIMATELY 19 YEARS PORT IMPLANTATION.

Description of Event or Problem · 1

THE PHAKIC INTRAOCULAR LENS WAS EXPLANTED FOLLOWING A SUBLUXATION AFTER APPROXIMATELY 19 YEARS POST IMPLANTATION.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
667327 OPHTEC ARTISAN MYOPIA 6/8.5 HQL OPHTEC 204 NOT PROVIDED

Patients

Seq Age Sex Outcome Treatment
1 57 YR Required Intervention