FDA Adverse Event Injury Summary report: N

CLARITI 1 DAY (SOMOFILCON A)

MDR report key: 18364721 · Received December 20, 2023

Report

Report Number
3009108089-2023-00005
Event Type
Injury
Date Received
December 20, 2023
Report Date
December 20, 2023
Manufacturer
COOPERVISION CL KFT
Product Code
MVN
PMA / PMN Number
K130331
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
TX, US
Reporter Occupation
003

Narratives

Additional Manufacturer Narrative · 0

(H3): NO PRODUCT HAS BEEN MADE AVAILABLE FOR MANUFACTURER ANALYSIS AND NO LOT NUMBER PROVIDED FOR MANUFACTURER INVESTIGATION. GIVEN THE LACK OF AVAILABLE DEVICE INFORMATION, THE MANUFACTURER IS UNABLE TO COMPLETE FURTHER INVESTIGATIONS AT THIS TIME AND NO ROOT CAUSE CAN BE ESTABLISHED. THE RELATIONSHIP BETWEEN THE COOPERVISION DEVICE AND THE EVENT IS UNCONFIRMED. SHOULD FURTHER INFORMATION BECOME AVAILABLE, THE MANUFACTURER WILL COMPLETE FURTHER INVESTIGATIONS AS APPROPRIATE AND SUBMIT A FOLLOW-UP REPORT AS APPLICABLE. NOTE: AS IT IS UNKNOWN WHICH EYE (OS/OD) , OR IF BOTH EYES (OU) , WERE INVOLVED, PLEASE REFER TO LINKED MANUFACTURER REPORT CC543837 3009108089-2023-00006 FOR SECOND ASSOCIATED INCIDENT REPORT.

Description of Event or Problem · 0

THIS INCIDENT WAS REPORTED BY THE PATIENT'S LOCATION OF PURCHASE AS RELAYED BY THE END USER. IT WAS ALLEGED THAT THE PATIENT EXPERIENCED EYE INFECTION, THE PATIENT BELIEVES THIS IS DUE TO USING CONTACT LENSES THAT HAD BEEN KEPT IN EXTREME HEAT FOR AN EXTENDED PERIOD. GOOD FAITH EFFORTS HAVE BEEN MADE TO OBTAIN FURTHER INFORMATION WITHOUT SUCCESS. AS OF THE DATE OF THIS REPORT, ADDITIONAL INFORMATION IS UNKNOWN. THIS EVENT IS BEING REPORTED IN AN ABUNDANCE OF CAUTION DUE TO THE LACK OF MEDICAL INFORMATION, UNCONFIRMED DIAGNOSIS, AND UNKNOWN PATIENT RESOLUTION. SHOULD FURTHER INFORMATION BECOME AVAILABLE, A FOLLOW-UP REPORT WILL BE SUBMITTED AS APPROPRIATE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
2084770 CLARITI 1 DAY (SOMOFILCON A) CLARITI 1 DAY (SOMOFILCON A) MVN COOPERVISION CL KFT UNKNOWN

Patients

Seq Age Sex Outcome Treatment
1 Unknown Other