FDA Adverse Event Injury Summary report: N

HEALON GV PRO

MDR report key: 9461837 · Received December 12, 2019

Report

Report Number
3004750704-2019-00105
Event Type
Injury
Date Received
December 12, 2019
Date of Event
November 14, 2019
Report Date
November 4, 2020
Manufacturer
JOHNSON & JOHNSON SURGICAL VISION, INC.
Product Code
LZP
PMA / PMN Number
P810031
Removal / Correction Number
2020664-12/02/19-001-R
Adverse Event
Yes
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
PA, US
Reporter Occupation
PHYSICIAN

Narratives

Additional Manufacturer Narrative · 0

THIS CORRECTION MDR IS BEING SUBMITTED TO ADDRESS INACCURATE INFORMATION IN SECTION F ON THE XML VERSION OF THE PREVIOUS SUBMISSION CAUSED BY A SOFTWARE GLITCH IN THE TRANSMISSION PROCESS. THE INTERNAL NON-CONFORMANCE NUMBERS FOR THIS SOFTWARE ISSUE ARE (B)(4) AND (B)(4) .

Additional Manufacturer Narrative · 1

IF IMPLANTED, GIVE DATE: NOT APPLICABLE AS THIS IS NOT AN IMPLANTABLE DEVICE. IF EXPLANTED, GIVE DATE: NOT APPLICABLE AS THIS IS NOT AN IMPLANTABLE DEVICE. EXPIRATION DATE: UNKNOWN, AS LOT NUMBER WAS NOT PROVIDED. (B)(4). THIS COMPLAINT IS PART OF THE RECALL - REPORT NUMBER 2020664-12/02/19-001-R: JOHNSON & JOHNSON SURGICAL VISION (JJSV) ISSUED A VOLUNTARY RECALL ON NOVEMBER 22, 2019. IT HAS BEEN REPORTED CUSTOMERS HAVE DESCRIBED HEALON GV PRO AS BEHAVING DIFFERENTLY THAN THE LEGACY HEALON GV, ESPECIALLY IN REGARD TO THE TECHNIQUES REQUIRED TO REMOVE THE PRODUCT FROM THE EYE. AN INCREASE OF INTRA-OCULAR PRESSURE (IOP) IS REPORTED IF THERE ARE SMALL AMOUNTS OF HEALON GV PRO REMAINING BEHIND THE OPERATIVE EYE. THIS VOLUNTARY RECALL IS BEING INITIATED DUE TO RECEIVED REPORTS OF HEALON GV PRO BEING DIFFICULT TO REMOVE FROM THE EYE, LEADING TO INCREASED POST-OPERATIVE IOP REQUIRING ADDITIONAL INTERVENTION. POTENTIAL CLOGGING OF PHACOEMULSIFICATION EQUIPMENT TUBING HAS ALSO BEEN REPORTED, WHICH MAY LEAD TO DELAY IN THE PROCEDURE OR OCULAR INJURY. THERE ARE TWENTY-ONE AFFECTED LOT NUMBERS. THE RECALL NOTIFICATION LETTER HAS BEEN SENT TO ALL CUSTOMERS INSTRUCTING THEM TO RETURN THE UNITS OF HEALON GV PRO FROM THE TWENTY-ONE (21) AFFECTED LOTS. JOHNSON & JOHNSON SURGICAL VISION HAS INITIATED A CORRECTIVE AND PREVENTATIVE ACTIONS (CAPA) TO INVESTIGATE AND ADDRESS THE ISSUE. ACTION ITEMS GENERATED FROM THE CAPA WILL BE SUBMITTED IN THE FUTURE INTERIM REPORT(S) AS PART OF THE RECALL PROCESS. ALL PERTINENT INFORMATION AVAILABLE TO JOHNSON AND JOHNSON SURGICAL VISION, INC. HAS BEEN SUBMITTED.

Description of Event or Problem · 1

IT WAS REPORTED THAT SURGEON WAS WORKING TO FIX HIS HEALON GV PRO PROBLEM. HE HAD A CASE WHERE HE USED HEALON GV PRO TO IMPLANT THE LENS AND THERE WAS A BUBBLE BEHIND THE LENS AND IT SERVED TO SHOW THAT THE GV PRO WAS THERE AND THAT HE COULD NOT GET ALL OF IT OUT FROM BEHIND THE LENS. HE WORKED AT IT FOR ABOUT A MINUTE AND THEN DECIDED HE WOULD HAVE TO GIVE THE PATIENT DIAMOX TO WARD OFF A POST OP SPIKE BECAUSE THE GV WAS NOT COMING OUT. REPORTEDLY IN THIS CASE, THE PATIENT DID NOT HAVE THE BEST OF ZONULES AND HE JUST WAS NOT COMFORTABLE GOING BEHIND. NO FURTHER INFORMATION PROVIDED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1255866 HEALON GV PRO OVDS LZP JOHNSON & JOHNSON SURGICAL VISION, INC. TG85ML UNKNOWN

Patients

Seq Age Sex Outcome Treatment
1 Required Intervention