BEUDAMED
    FDA Adverse Event Injury Summary report: N

    INTRALASE FS2

    MDR report key: 3780940 · Received April 30, 2014

    Report

    Report Number
    3006695864-2014-00253
    Event Type
    Injury
    Date Received
    April 30, 2014
    Date of Event
    April 19, 2014
    Report Date
    April 19, 2014
    Manufacturer
    ABBOTT MEDICAL OPTICS
    Product Code
    HNO
    PMA / PMN Number
    K060372
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    GA, US
    Reporter Occupation
    OTHER

    Narratives

    Additional Manufacturer Narrative · 1

    (B)(4). THE CLINIC IS REPORTING THIS ADVERSE EVENT ONLY AND DID NOT REQUEST OR REQUIRE FIELD SERVICE OR CLINICAL SUPPORT. ALL PERTINENT INFORMATION AVAILABLE TO ABBOTT MEDICAL OPTICS HAS BEEN SUBMITTED. PLACEHOLDER.

    Description of Event or Problem · 1

    THE CLINIC REPORTED THAT A LASER VISION CORRECTION PATIENT PRESENTED WITH STRAIE, FOLDS/WRINKLES IN THE LEFT EYE ONE DAY POST TREATMENT. THE SURGEON RELIFTED AND REPOSITIONED THE FLAP IN THE LEFT EYE. THERE WAS LOSS OF BEST CORRECTED VISUAL ACUITY (BCVA) REPORTED BY THE ACCOUNT; HOWEVER, NO ACTUAL READINGS WERE PROVIDED. PATIENT REPORTED THAT HE WAS HAPPY WITH HIS VISION IN BOTH EYES.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    259993 INTRALASE FS2 FEMTOSECOND LASER HNO ABBOTT MEDICAL OPTICS 20003D

    Patients

    Seq Age Sex Outcome Treatment
    1 47 YR Required Intervention VISX 3333