FDA Adverse Event Injury Summary report: N

CATALYS SYSTEM

MDR report key: 20352253 · Received October 2, 2024

Report

Report Number
3012236936-2024-000266
Event Type
Injury
Date Received
October 2, 2024
Report Date
August 18, 2025
Manufacturer
AMO MANUFACTURING USA, LLC
Product Code
OOE
UDI-DI
05050474609792
PMA / PMN Number
K113479
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
NY, US
Reporter Occupation
PHYSICIAN
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

CORRECTED DATA: BASED ON FURTHER REVIEW OF THE COMPLAINT FILE, IT WAS NOTED THAT DEVICE MANUFACTURE DATE WAS NOT ACCURATE ON THE INITIAL MEDWATCH REPORT. THE FOLLOWING SECTIONS HAVE BEEN UPDATED ACCORDINGLY. SECTION H4. DEVICE MANUFACTURE DATE, 07/22/2016. ADDITIONAL INFORMATION: MANUFACTURING RECORDS REVIEW: THE MANUFACTURING RECORDS FOR THE DEVICE WERE REVIEWED. THE PRODUCT WAS MANUFACTURED AND RELEASED ACCORDING TO SPECIFICATION. ALL PERTINENT INFORMATION AVAILABLE TO JOHNSON & JOHNSON SURGICAL VISION, INC., HAS BEEN SUBMITTED.

Additional Manufacturer Narrative · 0

SECTION A4 AND A5: UNKNOWN/ NOT PROVIDED. SECTION D6A: IF IMPLANTED, GIVE DATE: NOT APPLICABLE, AS SYSTEM IS NOT AN IMPLANTABLE DEVICE. SECTION D6B: IF EXPLANTED, GIVE DATE: NOT APPLICABLE, AS SYSTEM IS NOT AN IMPLANTABLE DEVICE. SECTION H3: THE CATALYS SYSTEM WAS NOT RETURNED FOR EVALUATION; THEREFORE, A FAILURE ANALYSIS OF THE COMPLAINT DEVICE CANNOT BE COMPLETED. A REVIEW OF THE DEVICE HISTORY RECORD, COMPLAINT TRENDING, AND RISK DOCUMENTATION FOR THIS DEVICE WILL BE PERFORMED. UPON COMPLETION OF THE REVIEW, IF THERE IS ANY FURTHER RELEVANT INFORMATION A SUPPLEMENTAL MEDWATCH WILL BE FILED. ALL PERTINENT INFORMATION AVAILABLE TO JOHNSON & JOHNSON SURGICAL VISION, INC HAS BEEN SUBMITTED.

Description of Event or Problem · 0

CUSTOMER REPORTED THAT THEY HAD A CAPSULE TEAR ON THEIR LAST SURGICAL DAY WITH THE CATALYS. CUSTOMER DOESN¿T THINK IT¿S FROM THE CATALYS. NO OTHER PATIENT INFORMATION WAS PROVIDED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
35595 CATALYS SYSTEM OPHTHALMIC FEMTOSECOND LASER OOE AMO MANUFACTURING USA, LLC CATALYS-U 05050474609792

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown Other