FDA Adverse Event Malfunction Summary report: Y

CATALYS SYSTEM

MDR report key: 17417258 · Received July 28, 2023

Report

Report Number
3012236936-2023-01947
Event Type
Malfunction
Date Received
July 28, 2023
Report Date
October 30, 2023
Manufacturer
JOHNSON & JOHNSON SURGICAL VISION, INC.
Product Code
OOE
Product Problem
Yes
Report Source
Manufacturer report
Reporter Occupation
OTHER
Health Professional
N

Narratives

Additional Manufacturer Narrative · 0

ADDITIONAL INFORMATION: ONE INVESTIGATION WAS COMPLETED DURING THE REPORTING PERIOD. NO PRODUCT DEFICIENCY WAS IDENTIFIED.

Additional Manufacturer Narrative · 0

PMA/510K: THIS REPORT IS BEING FILED ON AN INTERNATIONAL PRODUCT; LASER CORRECTION SYSTEM, MODEL CATALYS-C, THAT HAS A SIMILAR PRODUCT, CATALYS-U WHICH IS DISTRIBUTED IN THE UNITED STATES UNDER 510(K) # K113479. ONE (1) INVESTIGATION WAS COMPLETED DURING THE PERIOD. NO PRODUCT DEFICIENCY WAS IDENTIFIED. A REVIEW OF THE RECORDS RELATED TO THE DEVICE THAT INCLUDED LABELING, MANUALS, TRENDING, AND RISK DOCUMENTATION REVIEWS WAS PERFORMED. A REVIEW OF THE DEVICE HISTORY RECORD (DHR) SHOWED THAT THE SYSTEM AND ITS COMPONENTS MET ALL SPECIFICATIONS PRIOR TO BEING RELEASED. THE RISKS AND MITIGATIONS ASSOCIATED WITH THE COMPLAINT ISSUE ARE IDENTIFIED IN EXISTING RISK DOCUMENTS AND NO NEW RISKS WERE IDENTIFIED AS PART OF THIS INVESTIGATION. ALL PERTINENT INFORMATION AVAILABLE TO JOHNSON & JOHNSON SURGICAL VISION, INC. HAS BEEN SUBMITTED.

Description of Event or Problem · 0

THIS REPORT SUMMARIZES 1 MALFUNCTION EVENT. THE EVENT WAS RELATED TO SUCTION LOSS DURING LASER FIRING. THERE WERE NO PATIENT INJURIES REPORTED ASSOCIATED TO THE EVENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1946240 CATALYS SYSTEM OPHTHALMIC FEMTOSECOND LASER OOE JOHNSON & JOHNSON SURGICAL VISION, INC. CATALYS-C

Patients

Seq Age Sex Outcome Treatment
1 Unknown