inforMED
InjuryORZ

ILUX SYSTEM 1.0 DEVICE

Received Oct 27, 2020 · Event occurred Nov 13, 2018

Report 3014322342-2020-00001 · MDR key 10744229

Device

Generic name

Eyelid Thermal Pulsation System

Model number

1.0

Catalog number

2020

Lot number

ASKU

Product problems

  • Adverse Event Without Identified Device or Use Problem

Patient

85 YR

  • Corneal Ulcer
  • Pain
  • Loss of Vision
  • Corneal Ulcer
  • Pain
  • Loss of Vision

Narrative

Additional Manufacturer Narrative

THE MANUFACTURER INTERNAL REFERENCE NUMBER IS: (B)(4).

Description of Event or Problem

ADDITIONAL INFORMATION RECEIVED CLARIFIED THAT THE PATIENT DEVELOPED CORNEAL PERFORATION IN THE RIGHT EYE.

Additional Manufacturer Narrative

THE DEVICE WAS NOT RECEIVED FOR INVESTIGATION. THE SERIAL NUMBER (S/N) WAS NOT PROVIDED AND COULD NOT BE DETERMINED BASED ON THE INFORMATION PROVIDED. THEREFORE, MANUFACTURING INFORMATION COULD NOT BE OBTAINED. THE ROOT CAUSE CANNOT BE DETERMINED CONCLUSIVELY. THE MANUFACTURER INTERNAL REFERENCE NUMBER IS: (B)(4).

Additional Manufacturer Narrative

INVESTIGATION INCLUDING ROOT CAUSE ANALYSIS IS IN PROGRESS. A SUPPLEMENTAL MDR WILL BE FILED AS NECESSARY IN ACCORDANCE WITH 21 CFR 803.56 WHEN ADDITIONAL REPORTABLE INFORMATION BECOMES AVAILABLE. (B)(4).

Description of Event or Problem

AN ATTORNEY REPORTED THAT A PATIENT DEVELOPED A HOLE IN THE CORNEA (EYE UNKNOWN), EXPERIENCED PAIN, AND A LOSS OF VISION IN BOTH EYES FOLLOWING TREATMENT FOR DRY EYES. SUBSEQUENTLY THE PATIENT UNDERWENT A CORNEAL REPLACEMENT SURGERY, IN THE RIGHT EYE. IT WAS ALSO NOTED THAT THE PATIENT WAS DIAGNOSED WITH CORNEAL ULCER IN BOTH EYES AND CORNEAL REJECTION SOME MONTHS LATER. THE PATIENT UNDERWENT ADDITIONAL SURGERIES.