VERION DIGITAL MARKER M
Received Apr 11, 2016 · Event occurred Mar 17, 2016
Report 3010300699-2016-00015 · MDR key 5568529
Device
Generic name
Marker, Ocular
Manufacturer
Wavelight Gmbh (agps)Model number
X-SPMCatalog number
8065998244
Lot number
ASKU
Product problems
- Malposition of Device
Patient
69 YR
- No Known Impact Or Consequence To Patient
- No Known Impact Or Consequence To Patient
Narrative
Additional Manufacturer Narrative
EVALUATION SUMMARY: NO ANOMALIES FOUND BY REVIEW OF DEVICE HISTORY RECORD, PRODUCT MET ALL SPECIFICATIONS WHEN RELEASED. PRODUCT WAS NOT RETURNED FOR INVESTIGATION. REQUESTED DATA WERE NOT PROVIDED FOR INVESTIGATION. A JUMPING AXIS CAN HAVE SEVERAL CAUSES. IF THE DOCTOR SELECTS THE WRONG DOCTOR POSITION, THE DEVICE WILL NOT BE ABLE TO REGISTER THE CORRECT ANGLE. POOR ILLUMINATION CAN ALSO BE A REASON FOR NOT PROPERLY REGISTERING. THE ROOT CAUSE OF THE EVENT WAS ATTRIBUTED TO USER HANDLING. THE DEVICE WILL BE REMOVED FROM THE SITE BECAUSE OF DISSATISFACTION OF THE SURGEON.
Additional Manufacturer Narrative
EVALUATION SUMMARY: 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
A SURGEON REPORTED THAT DURING SURGERY, THE AXIS OF THE INTRAOCULAR LENS (IOL) IMPLANTATION MOVED APPROXIMATELY TEN TO FIFTEEN DEGREES FROM THE PLANNED POSITION. THE CONDITION OF THE PATIENT IS UNKNOWN. ALTHOUGH IT WAS REQUESTED, THE SURGEON WAS UNABLE TO PROVIDE ADDITIONAL INFORMATION. NO FURTHER INFORMATION IS EXPECTED.
Remedial action
- Other