The device was returned to iantech, decontaminated, and subjected to visual inspection and mechanical functional testing.The visual inspection revealed no damage and the device performed as expected.The cause of the event remains undetermined, but the surgeon suspects that patient anatomy (possible adhesion) may have been a contributing factor.The device history records were reviewed for this manufacturing lot and there were no discrepancies or unusual findings that relate to the reported event.There was no report of a device malfunction and the evaluation findings revealed no device defect.Capsular bag damage is an inherent risk of cataract surgery.(b)(4).
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A patient underwent cataract surgery in the left eye on (b)(6) 2018 where the miloop device was used to section the cataractous lens into fragments.During the procedure the surgeon was unable to rotate the loop around the nucleus.The surgeon retracted the loop and cut off a lens portion from the side then proceeded to the phacoemulsification portion of the procedure.The surgeon noted that the capsular bag was floppy and after phacoemulsification the surgeon observed a diagonal posterior capsular tear, but there was no vitreous loss.A three-piece intraocular lens was implanted without incident.The surgeon suspects there may have been an adhesion that caught the loop and pulled the bag, possibly precipitating the capsular tear.
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