FDA Adverse Event
Injury
Summary report: N
ONE STEP PEROXIDE (PLATINUM) / MULTI LENS CARE SYSTEM
MDR report key: 6223842
·
Received January 4, 2017
Report
- Report Number
- 9615939-2017-00001
- Event Type
- Injury
- Date Received
- January 4, 2017
- Report Date
- December 8, 2016
- Manufacturer
- SUAFLON PHARMACUETICALS, LTD.
- Product Code
- LPN
- PMA / PMN Number
- K010559
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- UK
- Reporter Occupation
- OTHER
Narratives
Additional Manufacturer Narrative · 1
THE BMR FOR BATCH 142474 WAS REVIEWED WITH NO ISSUES RECORDED AND ALL PRODUCT TESTING WERE WITHIN SPECIFICATION. THE ASSOCIATION BETWEEN COOPERVISION SOLUTION AND THE EVENT IS UNCONFIRMED.
Description of Event or Problem · 1
THE PATIENT ALLEGEDLY SUFFERED FROM 3RD DEGREE BURNS TO THE LEFT (OS) CORNEA. TREATMENT IS UNKNOWN, HOWEVER THE CORNEA IS RECOVERING AND VISUAL ACUITY IS DOWN TO 6/10. IT IS UNKNOWN IF THIS EVENT HAS FULLY RESOLVED. IN THE ABSENCE OF MEDICAL INFORMATION, THIS EVENT IS BEING REPORTED IN ABUNDANCE OF CAUTION BASED ON THE SEVERITY OF THE ALLEGATION OF A 3RD DEGREE BURN TO THE CORNEA.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 5935 | ONE STEP PEROXIDE (PLATINUM) / MULTI LENS CARE SYSTEM | ONE STEP PEROXIDE (PLATINUM) / MULTI LENS CARE SYSTEM | LPN | SUAFLON PHARMACUETICALS, LTD. | 142474 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | Other |