FDA Adverse Event Malfunction Summary report: Y

LIQUID OPTICS INTERFACE

MDR report key: 19833951 · Received July 25, 2024

Report

Report Number
3012236936-2024-000207
Event Type
Malfunction
Date Received
July 25, 2024
Report Date
July 28, 2025
Manufacturer
JOHNSON & JOHNSON SURGICAL VISION, INC.
Product Code
OOE
UDI-DI
05050474609778
PMA / PMN Number
K170322
Product Problem
Yes
Report Source
Manufacturer report
Reporter Occupation
OTHER
Health Professional
N

Narratives

Additional Manufacturer Narrative · 0

ADDITIONAL INFORMATION: LOT NUMBERS OF THE DEVICES AND QUANTITY 21141253 (X1). 21776752 (X1). 21937490 (X1). 21937495 (X1). 22062546 (X1). 22255649 (X1). 22255677 (X2). 22255678 (X2). 22255681 (X1). 22437557 (X1). 22499917 (X1). 22595436 (X1). 22595442 (X1). 22595456 (X2). 22815141 (X1). 22844421 (X1). 22844423 (X1). 22990479 (X2). 23012645 (X2). 23121216 (X1). 23246668 (X2). 23246675 (X1). 23246676 (X1). 23246678 (X1). 23246679 (X1). 23520806 (X3). 23520807 (X1). 23520808 (X1). 23630125 (X1). 23714524 (X3). 23774113 (X1). 24036203 (X1). 24130025 (X1). 24194378 (X1). ONE (1) INVESTIGATION WAS COMPLETED DURING THE PERIOD. A REVIEW OF THE RECORDS RELATED TO THE DEVICE THAT INCLUDED LABELING, MANUALS, TRENDING, RISK DOCUMENTATION AND DEVICE HISTORY RECORD (DHR) SHOWED THAT ITS COMPONENTS MET ALL SPECIFICATIONS PRIOR TO BEING RELEASED. NO PRODUCT DEFICIENCY WAS IDENTIFIED. ALL PERTINENT INFORMATION AVAILABLE TO JOHNSON & JOHNSON SURGICAL VISION, INC. HAS BEEN SUBMITTED.

Additional Manufacturer Narrative · 0

DEVICE EVALUATION: TWELVE (12) INVESTIGATIONS WERE COMPLETED DURING THE PERIOD. A REVIEW OF THE RECORDS RELATED TO THE DEVICE THAT INCLUDED LABELING, TRENDING, RISK DOCUMENTATION AND DEVICE HISTORY RECORD (DHR) SHOWED THAT THE SYSTEM AND ITS COMPONENTS MET ALL SPECIFICATIONS PRIOR TO BEING RELEASED. NO PRODUCT DEFICIENCY WAS IDENTIFIED. ALL PERTINENT INFORMATION AVAILABLE TO JOHNSON & JOHNSON SURGICAL VISION, INC. HAS BEEN SUBMITTED.

Additional Manufacturer Narrative · 0

CORRECTION: DURING A REVIEW OF CASES IT WAS DETERMINED 3 EVENTS WERE INADVERTENTLY CLASSIFIED AS THE REPORTABLE MALFUNCTION OF SUCTION LOSS WHILE LASER FIRING. HOWEVER, THE SUCTION ISSUE OCCURRED DURING THE OPTICAL COHERENCE TOMOGRAPHY STEP OF THE PROCEDURE WHICH IS DONE PRIOR TO LASER FIRING. THE TOTAL NUMBER OF EVENTS INITIALLY REPORTED UNDER THIS MEDWATCH, WHICH WAS (B)(4), IS NO LONGER CORRECT. THE NEW TOTAL OF EVENTS IS (B)(4). IN ADDITION, THE LOT NUMBER INVOLVED IN THE 3 EVENTS IS LOT 23520806 AND NOT THE EVENTS ASSOCIATED TO THAT LOT ARE NONE. SECTION H1, NO. OF EVENTS SUMMARIZED, HAS BEEN UPDATED TO (B)(4). DEVICE EVALUATION: TWENTY-TWO (22) INVESTIGATIONS WERE COMPLETED DURING THE PERIOD. A REVIEW OF THE RECORDS RELATED TO THE DEVICE THAT INCLUDED LABELING, MANUALS, TRENDING, RISK DOCUMENTATION AND DEVICE HISTORY RECORD (DHR) SHOWED THAT ITS COMPONENTS MET ALL SPECIFICATIONS PRIOR TO BEING RELEASED. NO PRODUCT DEFICIENCY WAS IDENTIFIED. ALL PERTINENT INFORMATION AVAILABLE TO JOHNSON & JOHNSON SURGICAL VISION, INC. HAS BEEN SUBMITTED.

Additional Manufacturer Narrative · 0

DEVICE EVALUATION: ONE (1) INVESTIGATION WAS COMPLETED DURING THE PERIOD. THE PRODUCT WAS RETURNED AND EVALUATED. A VISUAL INSPECTION OF THE RETURNED PRODUCT DID NOT REVEAL ANY OBVIOUS DEFECTS OR DAMAGE. FUNCTIONALITY TEST WAS PERFORMED, AND THE RESULT WAS FOUND NOT WITHIN SPECIFICATIONS. THE REPORTED EVENT IS CONFIRMED. A REVIEW OF THE RECORDS RELATED TO THE DEVICE THAT INCLUDED LABELING, MANUALS, TRENDING, AND DEVICE HISTORY RECORD (DHR) SHOWED THAT THE DEVICE AND ITS COMPONENTS MET ALL SPECIFICATIONS PRIOR TO BEING RELEASED. ALL PERTINENT INFORMATION AVAILABLE TO JOHNSON & JOHNSON SURGICAL VISION, INC. HAS BEEN SUBMITTED.

Description of Event or Problem · 0

THIS REPORT SUMMARIZES 45 MALFUNCTION EVENTS. THE EVENT WAS RELATED TO SUCTION LOSS WHILE LASER FIRING. THERE WERE NO PATIENT INJURIES REPORTED ASSOCIATED TO THE EVENTS.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
922314 LIQUID OPTICS INTERFACE OPHTHALMIC FEMTOSECOND LASER OOE JOHNSON & JOHNSON SURGICAL VISION, INC. 0180-1201 05050474609778

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown