FDA Adverse Event Injury Summary report: N

CLARITI 1 DAY (SOMOFILCON A)

MDR report key: 18456841 · Received January 5, 2024

Report

Report Number
3009108089-2024-00001
Event Type
Injury
Date Received
January 5, 2024
Date of Event
December 21, 2023
Report Date
January 5, 2024
Manufacturer
COOPERVISION CL KFT
Product Code
MVN
PMA / PMN Number
K130331
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
FR
Reporter Occupation
003

Narratives

Additional Manufacturer Narrative · 0

(SEE 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.

Description of Event or Problem · 0

THIS INCIDENT WAS REPORTED BY THE PATIENT TO THE MANUFACTURER AND LIMITED INFORMATION HAS BEEN MADE AVAILABLE. THE PATIENT REPORTED EXPERIENCING A SHARP PAIN IMMEDIATELY AFTER INSERTING THE CONTACT LENS. UPON REMOVING THE LENS, THEY NOTED INFLAMMATION AND ONGOING PAIN. SUBSEQUENTLY, THE PATIENT SOUGHT MEDICAL ATTENTION AT A HOSPITAL WHERE THEY STATE THEY WERE DIAGNOSED WITH KERATITIS (CORNEAL INFECTION) AND PRESCRIBED AN UNSPECIFIED ANTIBIOTIC FOR ONE WEEK. 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 REPORTED DIAGNOSIS OF KERATITIS/INFECTION OF UNKNOWN SEVERITY, LACK OF SUPPORTING MEDICAL INFORMATION, 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
601316 CLARITI 1 DAY (SOMOFILCON A) CLARITI 1 DAY (SOMOFILCON A) MVN COOPERVISION CL KFT AC118843

Patients

Seq Age Sex Outcome Treatment
1 19 YR Unknown Other