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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: BAUSCH + LOMB BAUSCH + LOMB IOL INJECTOR; FOLDERS AND INJECTORS, INTRAOCULAR LENS (IOL)

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BAUSCH + LOMB BAUSCH + LOMB IOL INJECTOR; FOLDERS AND INJECTORS, INTRAOCULAR LENS (IOL) Back to Search Results
Model Number INJ100
Device Problems Adverse Event Without Identified Device or Use Problem (2993); Insufficient Information (3190)
Patient Problem Capsular Bag Tear (2639)
Event Date 03/19/2024
Event Type  Injury  
Manufacturer Narrative
The device was not returned for evaluation.Additional information was requested but not received.As a lot number was not provided a device history record review (dhr) could not be performed.The trend analysis, risk analysis and directions for use review were considered acceptable, with the product performing within anticipated rates.Based on the available information, the root cause of this event could not be determined.
 
Event Description
It was reported that during a cataract surgery the intraocular lens was stuck in the injector.The injector was removed from the eye, the iol was removed from the injector and transferred to another injector of a different model.During the implantation with the replacement injector a ruptured posterior capsule was observed.An anterior vitrectomy was performed to remove the vitreous.The main incision was enlarged before the iol implantation.The lens remains implanted in the eye and a follow-up appointment is planned to check that the lens is in the correct position.Although requested additional information was not obtained.
 
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Brand Name
BAUSCH + LOMB IOL INJECTOR
Type of Device
FOLDERS AND INJECTORS, INTRAOCULAR LENS (IOL)
Manufacturer (Section D)
BAUSCH + LOMB
1400 north goodman street
rochester NY 14609
Manufacturer (Section G)
MEDICEL AG
dornierstrasse 11
altenrhein CH ¿ 9423
SZ   CH ¿ 9423
Manufacturer Contact
shayan habibi
21 north park place blvd.
clearwater, FL 33759
7277246600
MDR Report Key19123075
MDR Text Key340337478
Report Number0001313525-2024-00084
Device Sequence Number1
Product Code MSS
Combination Product (y/n)N
Reporter Country CodePL
PMA/PMN Number
K113852
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type Foreign,Health Professional,User Facility
Reporter Occupation Other
Type of Report Initial
Report Date 03/20/2024
1 Device was Involved in the Event
1 Patient was Involved in the Event
Is this an Adverse Event Report? Yes
Is this a Product Problem Report? No
Device Operator Health Professional
Device Model NumberINJ100
Was Device Available for Evaluation? No
Initial Date Manufacturer Received Not provided
Initial Date FDA Received04/17/2024
Was Device Evaluated by Manufacturer? Device Not Returned to Manufacturer
Is the Device Single Use? Yes
Is This a Reprocessed and Reused Single-Use Device? No
Type of Device Usage Initial
Patient Sequence Number1
Treatment
ENVISTA IOL, VISCOJECT BIO 2.2
Patient Outcome(s) Required Intervention;
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