FDA Adverse Event Injury Summary report: N

PRIVATE LABEL MULTIPURPOSE SOLUTION

MDR report key: 1523225 · Received October 28, 2009

Report

Report Number
2020664-2009-00066
Event Type
Injury
Date Received
October 28, 2009
Report Date
September 8, 2009
Manufacturer
ABBOTT MEDICAL OPTICS, INC.
Product Code
LPN
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

A REVIEW OF THE MFG RECORDS FOR THE REPORTED LOT WAS PERFORMED; NO DEVIATIONS WERE NOTED AND PRODUCT MET ALL SPECIFICATIONS. RETAIN SAMPLE TESTING FOR MICROBIOLOGY HAS BEEN PERFORMED. TEST RESULTS WERE WITHIN SPECIFICATIONS. ROOT CAUSE HAS NOT BEEN ESTABLISHED.

Description of Event or Problem · 1

AMO RECEIVED A REPORT FROM A DISTRIBUTOR REGARDING A FEMALE CONSUMER WHO REPORTED THAT BOTH SHE AND HER SON EXPERIENCED ULCERS IN THEIR EYES WHILE USING MULTIPURPOSE SOLUTION (PRIVATE LABEL). NO ADDITIONAL INFO HAS BEEN PROVIDED. THIS REPORT IS RELATED TO MDR 202664-2009-00062. WE ARE ATTEMPTING TO OBTAIN FURTHER INFO REGARDING THE PT, HER EVENT, TREATMENT, RETRIEVAL OF THE COMPLAINT UNIT AND ATTENDING PHYSICIAN INFO TO OBTAIN PROFESSIONAL EVAL.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 PRIVATE LABEL MULTIPURPOSE SOLUTION LPN ABBOTT MEDICAL OPTICS, INC. NA AE00210

Patients

Seq Age Sex Outcome Treatment
1 UNK Other