FDA Adverse Event Injury Summary report: Y

TANGIBLE FILL

MDR report key: 24761352 · Received April 1, 2026

Report

Report Number
3016440358-2026-00001
Event Type
Injury
Date Received
April 1, 2026
Date of Event
February 23, 2026
Report Date
March 31, 2026
Manufacturer
DRY EYE INNOVATIONS
Product Code
MRC
UDI-DI
00198168143803
PMA / PMN Number
K201069
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
TN, US
Reporter Occupation
003

Narratives

Additional Manufacturer Narrative · 0

THIS REPORT IS BEING FILED IMMEDIATELY AFTER THE MANUFACTURER WAS GRANTED ACCESS TO NEXGEN/WEBTRADER.

Description of Event or Problem · 0

CUSTOMER REPORTED: THEY HAVE BEEN USING TANGIBLE FILL FOR FIVE MONTHS AND RECENTLY ON INSERTING THE EYE BURNED LIKE IT WAS THE CLEAR CARE SHE SOAKS THEM IN OVERNIGHT. THE LENS WAS REMOVED, EYE WAS BLOODSHOT. THEY USED ANOTHER VIAL FROM THE SAME LOT IN THEIR OTHER EYE WITHOUT ISSUE AFTER RINSING. THE LOT WAS L684.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
227977 TANGIBLE FILL SCLERAL SALINE MRC DRY EYE INNOVATIONS 2090 L684 00198168143803

Patients

Seq Age Sex Outcome Treatment
1 21 YR Female Other