FDA Adverse Event
Injury
Summary report: N
INTRALASE FS2
MDR report key: 3872724
·
Received June 13, 2014
Report
- Report Number
- 3006695864-2014-00304
- Event Type
- Injury
- Date Received
- June 13, 2014
- Date of Event
- February 5, 2014
- Report Date
- February 7, 2014
- Manufacturer
- ABBOTT MEDICAL OPTICS
- Product Code
- HNO
- PMA / PMN Number
- K060372
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- FL, US
- Reporter Occupation
- PHYSICIAN
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 COMPLAINING OF SEVERE DRY EYE, IRRITATION AND PHOTOPHOBIA IN BOTH EYES POST TREATMENT. IT WAS REPORTED THAT THERE WAS NO LOSS OF BEST CORRECTED VISUAL ACUITY (BCVA). ON (B)(6) 2014, ABBOTT RECEIVED INFORMATION FROM THE ACCOUNT THAT DURING THE PATIENT'S LAST VISIT HE STATED THE SYMPTOMS HAVE NOT COMPLETELY RESOLVED HOWEVER, HE IS DOING MUCH BETTER AND BOTH THE DRYNESS AND THE PHOTOPHOBIA HAVE IMPROVED.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 349067 | INTRALASE FS2 | FEMTOSECOND LASER | HNO | ABBOTT MEDICAL OPTICS | 20003D |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 47 YR | Other |