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Aqueous Shunts and Devices for Glaucoma
PRIOR REVIEW/CERTIFICATION FATBACK FORM
INCOMPLETE FORMS MAY DELAY PROCESSING
ALL NC PROVIDERS MUST PROVIDE THEIR 5 DIGIT BCB SNC PROVIDER ID# BELOW
PRESCRIBER
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How to fill out aqueous shunts and devices

How to fill out aqueous shunts and devices
01
To fill out aqueous shunts and devices, follow these steps:
1. Begin by cleaning the area around the shunt or device with an antiseptic solution.
2. Open the sterile packaging of the shunt or device, making sure not to touch the sterile tip.
3. Use a syringe to draw the desired amount of sterile saline solution.
4. Attach the syringe to the shunt or device and slowly inject the saline solution.
5. Monitor for any leakage or complications during the filling process.
6. Once the shunt or device is filled, securely close any access ports.
7. Dispose of any used materials in accordance with medical waste disposal guidelines.
Who needs aqueous shunts and devices?
01
Aqueous shunts and devices are typically needed by individuals who have conditions that cause an increase in intraocular pressure, such as glaucoma. These devices help to decrease the pressure in the eye by diverting aqueous humor to an alternative drainage pathway, thereby preventing damage to the optic nerve and preserving vision. Patients who have failed to respond to other treatments or have severe cases of glaucoma may require aqueous shunts and devices.
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What is aqueous shunts and devices?
Aqueous shunts and devices are medical devices used in the treatment of glaucoma by diverting the flow of aqueous humor within the eye.
Who is required to file aqueous shunts and devices?
Manufacturers of aqueous shunts and devices are required to file reports with regulatory authorities.
How to fill out aqueous shunts and devices?
The filing process for aqueous shunts and devices typically involves submitting detailed information about the device, its intended use, and any adverse events.
What is the purpose of aqueous shunts and devices?
The purpose of aqueous shunts and devices is to reduce intraocular pressure in patients with glaucoma, thereby helping to preserve vision.
What information must be reported on aqueous shunts and devices?
Reports on aqueous shunts and devices usually include details on the device design, manufacturing process, clinical studies, and any adverse events.
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