FDA Adverse Event Injury Summary report: N

SOFLENS DAILY DISPOSABLE CONTACT LENS

MDR report key: 6080562 · Received November 4, 2016

Report

Report Number
0001313525-2016-00518
Event Type
Injury
Date Received
November 4, 2016
Date of Event
October 4, 2016
Report Date
October 3, 2016
Manufacturer
BAUSCH & LOMB INCORPORATED
Product Code
MVN
PMA / PMN Number
K061157
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
JA
Reporter Occupation
PATIENT

Narratives

Additional Manufacturer Narrative · 1

THE COMPLAINT SAMPLE WAS RETURNED AND THE RESULTS OF THAT EVALUATION REVEALED A V-SHAPED NICK ON THE EDGE OF THE LENS. MEDICAL INFORMATION IS NOT AVAILABLE. THE DEVICE HISTORY RECORDS ARE BEING REVIEWED.

Additional Manufacturer Narrative · 1

A REVIEW OF THE LOT DEVICE HISTORY RECORDS CONCLUDES THAT THE PRODUCT WAS MANUFACTURED, PACKAGED AND RELEASED ACCORDING TO GLOBAL AND PLANT PRODUCT SPECIFICATIONS.

Description of Event or Problem · 1

CONSUMER REPORTED PAIN IN RIGHT EYE UPON INITIAL USE OF PRODUCT. CONSUMER VISITED EYE CLINIC AND STATED THAT DOCTOR NOTED SCRATCHES ON THE SCLERA OF RIGHT EYE. DOCTOR PRESCRIBED FLUMETHOLON OPHTHALMIC SUSPENTION AND TOSUFLO OPHTHALMIC SOLUTION. CONSUMER IS RECOVERED. MEDICAL DOCUMENTATION IS NOT AVAILABLE AS CONSUMER IS UNWILLING TO PROVIDE DOCTOR INFORMATION OR SIGN A MEDICAL RELEASE FORM.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
731044 SOFLENS DAILY DISPOSABLE CONTACT LENS LENS, CONTACT, DISPOSABLE MVN BAUSCH & LOMB INCORPORATED W62029263

Patients

Seq Age Sex Outcome Treatment
1 Other