FDA Adverse Event Injury Summary report: N

CATALYS SYSTEM

MDR report key: 5193072 · Received October 30, 2015

Report

Report Number
3005675890-2015-00060
Event Type
Injury
Date Received
October 30, 2015
Date of Event
October 10, 2015
Report Date
December 10, 2015
Manufacturer
ABBOTT MEDICAL OPTICS
Product Code
OOE
PMA / PMN Number
K121091
Adverse Event
Yes
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
CH
Reporter Occupation
PHYSICIAN

Narratives

Additional Manufacturer Narrative · 1

CORRECTED DATA: DATE OF THIS REPORT WAS NOT POPULATED ON FOLLOW-UP #1, THE DATE SHOULD HAVE BEEN ENTERED AS 12/10/2015.

Additional Manufacturer Narrative · 1

(B)(4). (B)(6). ALL PERTINENT INFORMATION AVAILABLE TO ABBOTT MEDICAL OPTICS AT THE TIME OF THIS REPORT HAS BEEN SUBMITTED.

Additional Manufacturer Narrative · 1

CORRECTION: ACCOUNT REPORTED DURING FOLLOW UP THAT DATE OF EVENT WAS (B)(6) 2015. ON THE INITIAL MDR SECTION WAS POPULATED WITH K121091. THIS FIELD SHOULD HAVE BEEN LEFT BLANK AS THIS REPORT IS BEING FILED ON AN INTERNATIONAL PRODUCT; LASER CORRECTION SYSTEM, MODEL CATALYS-I, THAT HAS A SIMILAR PRODUCT, CATALYS-U WHICH IS DISTRIBUTED IN THE UNITED STATES UNDER 510(K) # K121091. DEVICE EVALUATION: SYSTEM CHECKED AFTER THE EVENT AND NO TECHNICAL ISSUES WITH THE SYSTEM WERE FOUND. SYSTEM MEETS AMO SPECIFICATIONS. PATIENT TREATMENT FILES WERE CHECKED AND COULD NOT FIND ANY ABNORMALITIES. SINCE (B)(6) 2015 MANY MORE PROCEDURES HAVE BEEN DONE WITH NO ISSUE. SURGEON WAS REMINDED TO REMOVE THE CAPSULOTOMY WITH THE RECOMMENDED CONTINUOUS CURVILINEAR CAPSULORHEXIS (CCC) TECHNIQUE AND NOT BY PHACO DIRECTLY SUCKING IT UP. ADDITIONAL INFORMATION: DURING FOLLOW UP THE ACCOUNT REPORTED THAT THERE WAS NO PATIENT INJURY OR COMPLICATIONS AND NO SURGICAL OR MEDICAL INTERVENTION WAS REQUIRED. THERE WAS NO LOSS OF BEST CORRECTED VISUAL ACUITY (BCVA). NO PATIENT FOLLOW UP IS REQUIRED. PATIENT WAS GIVEN TOPICAL STEROIDS. THE SURGEON REPORTED THAT CATALYS CONTRIBUTED TO THE INJURY.

Description of Event or Problem · 1

ACCOUNT REPORTED PATIENTS HAD A CAPSULE TEARS THAT WERE CAUSED BY AN INCOMPLETE CAPSULOTOMIES IN TWO PATIENTS. THIS REPORT IS FOR PATIENT 1 OF 2.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
721933 CATALYS SYSTEM OPHTHALMIC FEMTOSECOND LASER OOE ABBOTT MEDICAL OPTICS CATALYS-I

Patients

Seq Age Sex Outcome Treatment
1 Other