inforMED
InjuryMSS

M-PORT SI INJECTOR

Received Oct 20, 2015 · Event occurred Nov 20, 2014

Report 0001313525-2015-02890 · MDR key 5160986

Device

Generic name

Intraocular Lens Guide

Model number

EZ-28

Lot number

H46102

Product problems

  • Adverse Event Without Identified Device or Use Problem

Patient

Not reported

  • No Known Impact Or Consequence To Patient

Narrative

Additional Manufacturer Narrative

INVESTIGATION IS UNDERWAY. A SUPPLEMENTAL REPORT WILL BE SUBMITTED UPON COMPLETION OF THE INVESTIGATION.

Description of Event or Problem

IT WAS REPORTED THAT THE TRAILING LENS HAPTIC KINKED. THE INCISION WAS ENLARGED AND SUTURES WERE REQUIRED. ADDITIONAL INFORMATION HAS BEEN REQUESTED BUT HAS NOT BEEN RECEIVED.

Additional Manufacturer Narrative

THE LOT NUMBER OF THE DELIVERY DEVICE WAS NOT PROVIDED, AND THE DEVICE WAS NOT RETURNED TO THE MANUFACTURER FOR EVALUATION. THEREFORE, A DEVICE HISTORY REVIEW (DHR) AND PRODUCT EVALUATION COULD NOT BE CONDUCTED. BASED ON THE INFORMATION PROVIDED THE EXACT ROOT CAUSE OF THE EVENT CANNOT BE DETERMINED. HOWEVER IT IS POSSIBLE THAT USER RELATED FACTORS (SUCH AS LOADING OR HANDLING TECHNIQUES) AND/OR PROCEDURAL FACTORS (SUCH AS LENS AND INSERTER INTERACTION) MIGHT HAVE CONTRIBUTED TO THE EVENT.