inforMED
InjuryORZ

SYSTANE ILUX2 MGD THERMAL PULSATION SYSTEM

Received Apr 19, 2023

Report 2028159-2023-00565 · MDR key 16769945

Device

Generic name

Eyelid Thermal Pulsation System

Model number

2.0

Catalog number

8065000288

Lot number

ASKU

Product problems

  • Adverse Event Without Identified Device or Use Problem
  • Adverse Event Without Identified Device or Use Problem

Patient

Unknown

  • Vitreous Floaters
  • Visual Impairment
  • Eye Pain
  • Vitreous Floaters
  • Visual Impairment
  • Eye Pain

Narrative

Description of Event or Problem

A PHYSICIAN REPORTED THAT AFTER THE PROCEDURE, THE PATIENT EXPERIENCED VITREOUS FLOATERS IN THE LEFT EYE, VISUAL ACUITY DECREASED, EYE PRESSURE WAS TOO MUCH AND INTOLERABLE. THE UNDERWENT TREATMENT FOR THE EVENTS AND CURRENT CONDITION OF THE PATIENT WAS NOT REPORTED. THIS REPORT REFERS TO PATIENT'S LEFT EYE.

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

Additional Manufacturer Narrative

SPECIFIC PRODUCT IDENTIFIERS (SERIAL NUMBER) WERE NOT PROVIDED AND COULD NOT BE DETERMINED AT THIS TIME. HOWEVER, ALL DEVICE HISTORY RECORDS ARE REVIEWED PRIOR TO PRODUCT RELEASE TO ENSURE THE PRODUCT WAS MANUFACTURED IN COMPLIANCE WITH THE DEVICE MASTER RECORD AND MEETS RELEASE CRITERIA. A REVIEW FOR COMPLAINTS REPORTED AGAINST THIS SERIAL NUMBER CANNOT BE PERFORMED AS THE SERIAL NUMBER IS UNKNOWN. THE SERIAL IS UNKNOWN. THEREFORE, A SERVICE HISTORY REVIEW CANNOT BE PERFORMED. BASED ON THE INFORMATION OBTAINED, THE ROOT CAUSE OF THE REPORTED EVENT IS INCONCLUSIVE. MANUFACTURER WILL CONTINUE TO MONITOR DATA FOR EVIDENCE OF ADVERSE TRENDING AND TAKE FURTHER ACTION, AS APPROPRIATE. THE MANUFACTURER INTERNAL REFERENCE NUMBER IS: (B)(4).

Remedial action

  • Other