inforMED
InjuryFTH

VERION DIGITAL MARKER M

Received Jul 31, 2017 · Event occurred Jul 6, 2017

Report 3010300699-2017-00021 · MDR key 6753297

Device

Generic name

Marker, Ocular

Model number

X-SPM

Catalog number

8065998242

Lot number

ASKU

Product problems

  • Flare or Flash

Patient

Not reported

  • Discomfort
  • No Code Available
  • Discomfort
  • No Code Available

Narrative

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).

Description of Event or Problem

A DOCTOR REPORTED THAT A GREEN FLASH FROM THE OPTIC OF THE MICROSCOPE DAZZLED HIS EYES. THE SURGEON WAS PERFORMING A TORIC INTRAOCULAR LENS IMPLANT PROCEDURE WHEN THIS OCCURRED. DURING THE SURGERY, THE IMAGING SYSTEM BUGGED. THE GREEN FLASH DAZZLED THE SURGEON. THE SURGEON SHOUTED AND EXPERIENCED DISCOMFORT AND A WHITE VEIL APPEARED IN FRONT OF HIS EYES. THE INCIDENT LASTED ABOUT 30 SECONDS. THE SURGEON WAS ABOUT TO FINISH THE SURGERY HE WAS PERFORMING. SURGEON IS CONCERNED ABOUT POTENTIAL SEQUELA FOLLOWING THE FLASH. UPON FOLLOW UP, GLARE WAS REPORTED TO HAVE LASTED ABOUT FOUR MINUTES. SURGEON WAS AFRAID OF LOSING PART OF HIS VISION. THERE ARE TWO RELATED REPORTS FOR THIS PATIENT. THIS REPORT ADDRESSES THE PATIENT'S RIGHT EYE AND ANOTHER MANUFACTURER REPORT WILL BE FILED FOR THE FELLOW EYE.

Additional Manufacturer Narrative

NO ANOMALIES FOUND BY REVIEW OF DEVICE HISTORY RECORD. PRODUCT MET ALL SPECIFICATIONS WHEN RELEASED. AT THE VISIT ON SITE, THE FIELD SERVICE ENGINEER COULD NOT REPRODUCE THE ERROR. FSE TRIED BY HIMSELF DURING TESTING AND CONFIRMS THAT THE MICROSCOPE INTEGRATED DISPLAY (MID) BEHAVES JUST LIKE ANY OTHER MID. LITTLE GREEN LIGHT AT START UP BUT NOTHING VERY INTENSIVE. TUNING CONTROL/CHECK: TEST IN ACCORDANCE WITH THE PROCEDURE. CONTROL ACCORDING TO PROCEDURE-DEVICE IN KEEPING WITH THE COMPANY SPECIFICATIONS. (B)(4)