VERION DIGITAL MARKER M
Received Mar 25, 2015 · Event occurred Feb 10, 2015
Report 3010300699-2015-00501 · MDR key 4633445
Device
Generic name
Marker, Ocular
Manufacturer
Wavelight Gmbh (agps)Model number
X-SPMCatalog number
8065998243
Lot number
NA
Product problems
- Positioning Problem
Patient
58 YR
- Visual Impairment
Narrative
Additional Manufacturer Narrative
ADDITIONAL INFORMATION PROVIDED: ATTEMPTS HAVE BEEN MADE TO OBTAIN ADDITIONAL INFORMATION; HOWEVER, CUSTOMER IS UNWILLING TO PROVIDE ANY ADDITIONAL INFORMATION RELATED TO THIS EVENT. NO TECHNICAL ROOT CAUSE COULD BE DETERMINED AS THE SYSTEM WAS PERFORMING WITHIN SPECIFICATIONS. CONTRIBUTING FACTORS COULD BE MISUSE OF THE DEVICE, THE SURGEON HAS TO REVIEW AND CONFIRM SURGICAL PLANNING SCREEN BEFORE THE TREATMENT. AS PER INVESTIGATION, OBSERVED ERROR IN AXIS MAPPING DUE TO WRONG DOCTOR POSITION. THE MANUFACTURER INTERNAL REFERENCE NUMBER IS: (B)(4).
Description of Event or Problem
ATTEMPTS HAVE BEEN MADE TO OBTAIN ADDITIONAL INFORMATION; HOWEVER, CUSTOMER IS UNWILLING TO PROVIDE ANY ADDITIONAL INFORMATION RELATED TO THIS EVENT.
Description of Event or Problem
SURGEON REPORTED TO COMPANY REPRESENTATIVE A CASE OF INCORRECT PLACEMENT OF INCISIONS RESULTED IN INCORRECT ORIENTATION OF A TORIC INTRAOCULAR LENS (IOL) IN A PATIENT'S LEFT EYE. REPORTER INDICATED A RESIDUAL POSTOPERATIVE ASTIGMATISM OCCURED, AND THE PATIENT WAS RETURNED TO THE OPERATING ROOM ON THE SAME DAY WHERE THE IOL WAS ROTATED TO THE CORRECT AXIAL POSITION. REPORTER INDICATED THE PATIENT IS DOING WELL. FOLLOW UP INFORMATION RELAYED USER HAD MISSED THE SELECTION OF PHYSICIAN ORIENTATION OF THE DEVICE TO DETERMINE CORRECT REGISTER OF INCISIONS.
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).
Remedial action
- Other