FDA Adverse Event
Injury
Summary report: N
BVI VISITEC ANTERIOR CHAMBER CANNULA (RYCROFT)
MDR report key: 7395510
·
Received April 3, 2018
Report
- Report Number
- MW5076312
- Event Type
- Injury
- Date Received
- April 3, 2018
- Date of Event
- February 28, 2018
- Report Date
- April 2, 2018
- Manufacturer
- BVI VISITEC
- Product Code
- HMX
- UDI-DI
- 30886158002452
- Adverse Event
- Yes
- Product Problem
- Yes
- Report Source
- Voluntary report
- Reporter Location
- GA, US
- Reporter Occupation
- NURSE
Narratives
Description of Event or Problem · 1
THE LEFT EYE WAS PREPPED AND DRAPED FOR OPHTHALMIC SURGERY AND SURGICAL PROCEDURE BEGAN. CATARACT EXTRACTION WAS PERFORMED AND IOL + 19.05 (B)(4) WAS INTRODUCED. DURING THE HYDRATION OF THE TEMPORAL WOUND, THE CANNULA DISCONNECTED FROM THE SYRINGE AND ENTERED THE ANTERIOR CHAMBER, BREAKING THE POSTERIOR CAPSULAR BAG. THIS CAUSED DISLOCATION OF THE IMPLANTED IOL WHICH THEN RECEDED INTO THE VITREOUS CAVITY. EYE WAS EVALUATED BY SURGEON, WOUNDS WERE RE-CHECKED AND NO ADDITIONAL PROCEDURE WAS REQUIRED AT THAT TIME. GATIFLOXACIN AND PREDNISOLONE DROPS WERE GIVEN PRIOR TO PATCHING. PATCH PLACED OVER SURGICAL SITE AND PATIENT TRANSFERRED TO POST-OP HOLDING AREA. ON RE-ASSESSMENT 2 DAYS LATER - THICK HEME OVERLYING THE MACULA AND OPTIC NERVE.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 234167 | BVI VISITEC ANTERIOR CHAMBER CANNULA (RYCROFT) | CANNULA, OPHTHALMIC | HMX | BVI VISITEC | 581273 | 3210649 | 30886158002452 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 60 YR | Other |