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