FDA Adverse Event Injury Summary report: N

PUREVISION TORIC (BALAFILCON A) CONTACT LENS

MDR report key: 2250088 · Received September 9, 2011

Report

Report Number
1313525-2011-00017
Event Type
Injury
Date Received
September 9, 2011
Date of Event
July 23, 2011
Report Date
August 11, 2011
Manufacturer
BAUSCH & LOMB
Product Code
LPM
PMA / PMN Number
P980006
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
UK
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL

Narratives

Additional Manufacturer Narrative · 1

THE CONTACT LENS INVOLVED IN THE EVENT WAS NOT RETURNED. HOWEVER, SEALED CONTACT LENSES OF THE SAME LOT WERE RETURNED AND FOUND TO BE WITHIN SPECIFICATIONS. THE LOT DEVICE HISTORY RECORDS WERE REVIEWED AND SHOW THAT ALL REQUIREMENTS WERE MET. MEDICAL DOCUMENTATION FROM THE TREATING DOCTOR HAS NOT BEEN RECEIVED. BASED ON ALL INFORMATION, NO CAUSAL FACTORS CAN BE DETERMINED, AND NO CONCLUSION CAN BE DRAWN.

Description of Event or Problem · 1

OPTOMETRIST REPORTED THAT A PATIENT WORE LENSES FOR TWO WEEKS AND EXPERIENCED REDNESS AND PAIN IN LEFT EYE. PATIENT WAS DIAGNOSED WITH A PERIPHERAL CORNEAL ULCER BELIEVED TO BE INFECTIOUS AND REFERRED TO A HOSPITAL. A CULTURE WAS PERFORMED BY THE HOSPITAL AND TESTED POSITIVE FOR (B)(6). IT IS UNCLEAR IF THE CULTURE WAS ON THE LENS ON THE CORNEA. PATIENT WAS TREATED WITH GENTAMICIN AND CIPROFLOXACINE. THE PATIENT HAS RESOLVED WITH NO PERMANENT DECREASE IN VISUAL ACUITY.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 PUREVISION TORIC (BALAFILCON A) CONTACT LENS LPM BAUSCH & LOMB W18414640

Patients

Seq Age Sex Outcome Treatment
1 Required Intervention OPTIONS MULTI-PURPOSE SOLUTION BY COOPERVISION