FDA Adverse Event Injury Summary report: N

DAILIES FRESHLOOK ILLUMINATE

MDR report key: 4059108 · Received August 8, 2014

Report

Report Number
9610813-2014-00017
Event Type
Injury
Date Received
August 8, 2014
Date of Event
July 15, 2014
Report Date
July 19, 2014
Manufacturer
CIBA VISION GMBH
Product Code
LPL
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Occupation
NOT APPLICABLE

Narratives

Additional Manufacturer Narrative · 1

THIS PRODUCT IS NOT APPROVED OR INTRODUCED INTO COMMERCIAL DISTRIBUTION IN THE UNITED STATES. HOWEVER, THIS MEDWATCH IS BEING FILED BASED ON A SIMILAR PRODUCT FRESHLOOK ONE-DAY THAT IS SOLD IN THE UNITED STATES UNDER PMA/510(K) # K050213. UNOPENED PRODUCT FROM THE SAME LOT NUMBER WAS RETURNED FOR EVALUATION AND FOUND TO MEET SPECIFICATIONS. THE INVESTIGATION IS IN PROGRESS. UPON COMPLETION OF THE INVESTIGATION, A FOLLOW-UP MEDWATCH WILL BE FILED. (B)(4).

Description of Event or Problem · 1

THIS IS THE SECOND OF TWO REPORTS FOR THE SAME PT INVOLVING TWO LOT NUMBERS OF THE SAME PRODUCT FOR A BILATERAL EVENT. REFER TO 9610813-2014-00016 FOR THE DESCRIPTION OF THE SECOND REPORT. IT WAS REPORTED BY A CONTACT LENS SHOP THAT A CONSUMER FOUND A SCRATCH ON THE CONTACT LENSES AND INSERTED THEM. WHEN THE CONSUMER WORE THE PRODUCT PAIN WAS EXPERIENCED AND THE CONSUMER WAS ADVISED BY A DOCTOR THAT THERE WERE SCRATCHES ON THE CORNEAS. FOLLOW UP INFO PROVIDED BY THE CONSUMER STATED THAT THE CONSUMER EXPERIENCED RED EYE WHILE WEARING THE LENSES AND THE NEXT DAY, THE CONSUMER EXPERIENCED RED EYE AGAIN AS WELL AS LACRIMATION AND PHOTOPHOBIA. THE CONSUMER VISITED THE DOCTOR AND WAS ADVISED THAT THERE WERE MULTIPLE SCRATCHES ON THE EYES. THE CONSUMER REPORTS THAT THE EVENT OCCURRED SIMULTANEOUSLY IN BOTH EYES. THE CONSUMER WAS PRESCRIBED AN UNSPECIFIED ANTIBIOTIC, MOISTURIZING AGENT, AND AN ORAL ANTI-INFLAMMATORY ANALGESIC. NO ADDITIONAL INFO IS AVAILABLE AT THIS TIME.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
473071 DAILIES FRESHLOOK ILLUMINATE LENS, CONTACT (DISPOSABLE) LPL CIBA VISION GMBH N0226030

Patients

Seq Age Sex Outcome Treatment
1 Other