FDA Adverse Event
Injury
Summary report: N
LENSX LASER SYSTEM
MDR report key: 4209548
·
Received May 2, 2014
Report
- Report Number
- 3008772169-2014-00044
- Event Type
- Injury
- Date Received
- May 2, 2014
- Date of Event
- January 1, 2014
- Report Date
- April 5, 2014
- Manufacturer
- ALCON LENSX INC.
- Product Code
- OOE
- PMA / PMN Number
- K101626
- Removal / Correction Number
- NA
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Occupation
- UNKNOWN
Narratives
Additional Manufacturer Narrative · 1
INVESTIGATION INCLUDING ROOT CAUSE ANALYSIS IS IN PROGRESS. A SUPPLEMENTAL MDR WILL BE FILED AS NECESSARY IN ACCORDANCE WITH 21 CFR 803.56 WHEN ADDITIONAL REPORTABLE INFORMATION BECOMES AVAILABLE. ATTEMPTS TO OBTAIN ADDITIONAL INFORMATION HAVE BEEN MADE. NO NEW INFORMATION HAS BEEN RECEIVED.(B)(4).
Description of Event or Problem · 1
A USER FACILITY REPORTED THAT FOLLOWING LASER-ASSISTED CATARACT SURGERY, THE PATIENT PRESENTED WITH EYE DRYNESS. NO OTHER DETAILS WERE PROVIDED. ADDITIONAL INFORMATION HAS BEEN REQUESTED.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 265497 | LENSX LASER SYSTEM | OPHTHALMIC FEMTOSECOND LASER | OOE | ALCON LENSX INC. | 550 | NA |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | Other |