inforMED
MalfunctionNZP

INTEGUSEAL MICROBIAL SEALANT IS 100

Received Jun 6, 2023 · Event occurred May 10, 2023

Report 3011270181-2023-00058 · MDR key 17075423

Device

Generic name

Microbial Sealant (integuseal)

Model number

33736

Catalog number

N/A

Lot number

UNKNOWN

Product problems

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

Patient

Unknown

  • Eye Pain
  • Eye Pain

Narrative

Description of Event or Problem

IT WAS REPORTED " BEFORE PACEMAKER IMPLANTATION, CYANOACRYLATE SCATTERED WHEN A DOCTOR SHOOK THE APPLICATOR TO MAKE CYANOACRYLATE EXUDE WELL. THE SCATTERED CYANOACRYLATE CAME INTO THE DOCTOR'S EYE.". THE PHYSICIAN REPORTED FEELING PAIN IN HIS EYE. ADDITIONALLY, HE FOLLOWED-UP WITH AN "EYE DOCTOR SOON AND HAD HIS EYE CLEANED." THE PAIN HAS DIMINISHED.

Additional Manufacturer Narrative

THE ACTUAL COMPLAINT PRODUCT WAS NOT RETURNED FOR EVALUATION. A REVIEW OF THE DEVICE HISTORY RECORD IS NOT POSSIBLE AS NO LOT NUMBER WAS PROVIDED. ROOT CAUSE COULD NOT BE DETERMINED. ALL INFORMATION REASONABLY KNOWN AS OF 06-JUN-2023 HAS BEEN INCLUDED IN THIS HEALTH AUTHORITY REPORT. SHOULD ADDITIONAL INFORMATION BE OBTAINED, A FOLLOW-UP HEALTH AUTHORITY REPORT WILL BE PROVIDED. THE INFORMATION PROVIDED BY AVANOS MEDICAL, INC. REPRESENTS ALL OF THE KNOWN INFORMATION AT THIS TIME. DESPITE GOOD FAITH EFFORTS TO OBTAIN ADDITIONAL INFORMATION, THE COMPLAINANT / REPORTER WAS UNABLE OR UNWILLING TO PROVIDE ANY FURTHER PATIENT, PRODUCT, OR PROCEDURAL DETAILS TO AVANOS MEDICAL, INC. AVANOS MEDICAL, INC. HAS NO INDEPENDENT KNOWLEDGE OF THE EVENT REPORTED BUT IS RELAYING THE INFORMATION THAT WAS PROVIDED BY THE USER FACILITY WHERE THE INCIDENT OCCURRED. THIS PRODUCT INCIDENT IS DOCUMENTED IN THE AVANOS MEDICAL, INC. COMPLAINT DATABASE AND IDENTIFIED AS COMPLAINT (B)(4). THIS INFORMATION IS SUBMITTED PURSUANT TO 21CFR803, IN COMPLIANCE WITH THE MEDICAL DEVICE REPORTING REQUIREMENT AND SHOULD NOT BE CONSIDERED TO BE AN ADMISSION THAT AN AVANOS MEDICAL, INC. PRODUCT IS DEFECTIVE OR CAUSED SERIOUS INJURY. H3 OTHER TEXT : DEVICE NOT RETURNED.