FDA Adverse Event Injury Summary report: N

AVAIRA TORIC (ENFILCON A)

MDR report key: 2251308 · Received September 13, 2011

Report

Report Number
2640128-2011-00010
Event Type
Injury
Date Received
September 13, 2011
Date of Event
July 1, 2011
Report Date
August 21, 2011
Manufacturer
COOPER VISION CARRIBBEAN CORP
Product Code
LPL
PMA / PMN Number
K071736
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL

Narratives

Additional Manufacturer Narrative · 1

EVENT WAS REPORTED VERBALLY TO SALES REP WHO FORWARDED TO CUSTOMER SERVICE. SEVERAL ATTEMPTS TO OBTAIN ADD'L INFO HAVE NOT BEEN SUCCESSFUL. IT IS UNK WHICH EYE IS INVOLVED IN THE INCIDENT. METHOD: NO EXAMINATION OF DEVICE WAS PROVIDED WHICH COULD INDICATE IF THE DEVICE CAUSED OR CONTRIBUTED TO THE INCIDENT. RESULTS: THERE IS NO DIRECT CAUSAL RELATIONSHIP ESTABLISHED BETWEEN THE MEDICAL DEVICE AND THE INCIDENT THE PT COMPLAINS OF. CONCLUSIONS: NO CONCLUSION CAN BE DRAWN. THIS IS BEING REPORTED AS CORNEAL EDEMA AND IRITIS WITH NO DIRECT CAUSAL RELATIONSHIP ESTABLISHED BETWEEN THE MEDICAL DEVICE AND THE INCIDENT.

Description of Event or Problem · 1

AVAIRA TORIC (ENFILCON A) CONTACT LENSES WERE DISPENSED TO THE PT ON (B)(6) 2011. THE PT WAS SEEN THREE TIMES AFTER THAT ON (B)(6). THE PT WAS DIAGNOSED WITH CORNEAL EDEMA AND IRITIS. THE PT TEMPORARILY DISCONTINUED USE AND HAS BEEN ALLOWED TO SLOWLY START TO WEAR LENSES AGAIN AS OF (B)(6), 2011.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 AVAIRA TORIC (ENFILCON A) LPL, SOFT CONTACT LENS, DAILY WEAR LPL COOPER VISION CARRIBBEAN CORP 5634500219000315

Patients

Seq Age Sex Outcome Treatment
1 Other