FDA Adverse Event Injury Summary report: N

IFS ADVANCED FEMTOSEC LASER

MDR report key: 20286702 · Received September 23, 2024

Report

Report Number
3012236936-2024-000260
Event Type
Injury
Date Received
September 23, 2024
Report Date
September 23, 2024
Manufacturer
AMO MANUFACTURING USA, LLC
Product Code
GEX
UDI-DI
05050474573468
PMA / PMN Number
K141852
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
IA, US
Reporter Occupation
PHYSICIAN
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

DEVICE EVALUATION: FIELD SERVICE WAS DISPATCHED TO PERFORM SYSTEM EVALUATION AND REPLACED PRE EXPANDER, PERFORMED AUTO CORRELATION, SPOT SIZE CAMERA, ALIGNMENTS, GEL EVALUATION AND PERFORM PREVENTATIVE MAINTENANCE. SYSTEM PERFORMING TO SPECIFICATION. ON JUNE 6, 2024, JNJ CLINICAL APPLICATION SPECIALIST VISITED SITE AND GELLED LASER AT AT 5/5 @ 0.65 WITH 80% MELT, 6/6 @ 0.85 AT 80% MELT AND 7/7 @ 1.05 AT 80% MELT. DOCTOR'S SETTINGS ARE 7/7 WITH BED ENERGY AT 1.0 AND SIDE CUT ENERGY AT 0.90. HIS FLAP THICKNESS IS SET AT 100UM. MAX ENERGY AT STARTUP WAS 2.19UJ. AFTER GELLING, CLINICAL DID AN ENERGY WHEEL INITIALIZATION AND IT WAS 2.26UJ. ROOM TEMPERATURE WAS FOUND AT 65 DEGREE F, HUMIDITY 33%. ON JUNE 7, 2024, CLINICAL RETURNED TO SITE AND OBSERVED 13 LASIK CASES PERFORMED BY THE DOCTOR. INTRALASE PERFORMED WELL. INITIAL MAX ENERGY 2.19 AND SUBSEQUENTLY STAYED AT 2.26 THE REST OF THE DAY. TEMP/HUMIDITY STAYED CONSTANT AT 65F/33%. SETTINGS USED WERE 1.00 BED ENERGY, 0.90 SIDE-CUT ENERGY, FLAP THICKNESS 100UM. EASY LIFTS AND DOCTOR WAS HAPPY WITH ITS' PERFORMANCE. MANUFACTURING RECORDS REVIEW: THE MANUFACTURING RECORDS FOR THE DEVICE WERE REVIEWED. THE PRODUCT WAS MANUFACTURED AND RELEASED ACCORDING TO SPECIFICATION. CONCLUSION: AS A RESULT OF THE INVESTIGATION THERE IS NO INDICATION OF A PRODUCT QUALITY DEFICIENCY. ALL PERTINENT INFORMATION AVAILABLE TO JOHNSON & JOHNSON SURGICAL VISION, INC. HAS BEEN SUBMITTED.

Description of Event or Problem · 0

IT WAS REPORTED THAT PATIENT HAD PRESENTED POST OP WITH VERTICAL GAS BREAKTHROUGH (VGB). NO ADDITIONAL INFORMATION WAS PROVIDED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1489989 IFS ADVANCED FEMTOSEC LASER POWERED LASER SURGICAL INSTRUMENT GEX AMO MANUFACTURING USA, LLC J20007D 05050474573468

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown Other