FDA Adverse Event Injury Summary report: N

ONE STEP PEROXIDE (PLATINUM) MULTI LENS CARE SYSTEM

MDR report key: 5998571 · Received October 4, 2016

Report

Report Number
9615939-2016-01000
Event Type
Injury
Date Received
October 4, 2016
Date of Event
July 29, 2016
Report Date
September 19, 2016
Manufacturer
SAUFLON PHARMACEUTICALS, LTD
Product Code
LPN
PMA / PMN Number
K010559
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
CA, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

ANALYSIS CANNOT BE PERFORMED. NO LENSES WERE RETURNED FOR EVALUATION AND LOT NUMBER IS UNKNOWN. THE ASSOCIATION BETWEEN COOPERVISION LENSES AND THE EVENT IS UNCONFIRMED.

Description of Event or Problem · 1

THE PATIENT EXPERIENCED SWELLING AND BLURRED VISION AFTER USE OF ONE STEP PEROXIDE LENS CARE SYSTEM, WHICH RESULTED IN A PERMANENT REDUCTION OF VISUAL ACUITY. MEDICAL ATTENTION WAS SOUGHT. NO ADDITIONAL INFORMATION HAS BEEN OBTAINED. THIS EVENT IS BEING REPORTED OUT OF ABUNDANCE OF CAUTION BECAUSE IT IS UNKNOWN IF THE BLURRY VISION RESOLVED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
650324 ONE STEP PEROXIDE (PLATINUM) MULTI LENS CARE SYSTEM ONE STEP PEROXIDE (PLATINUM) MULTI LENS CARE SYSTEM LPN SAUFLON PHARMACEUTICALS, LTD 127592

Patients

Seq Age Sex Outcome Treatment
1 Other