FDA Adverse Event
Injury
Summary report: N
HYDRASOFT TORIC (METHAFILCON B)
MDR report key: 7133865
·
Received December 20, 2017
Report
- Report Number
- 1314956-2017-00010
- Event Type
- Injury
- Date Received
- December 20, 2017
- Report Date
- December 20, 2017
- Manufacturer
- COOPERVISION, INC.
- Product Code
- LPL
- PMA / PMN Number
- P850079
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- PA, US
- Reporter Occupation
- PHYSICIAN
Narratives
Additional Manufacturer Narrative · 1
NO PRODUCT SAMPLE WAS RETURNED TO THE MANUFACTURER FOR ANALYSIS. THE ASSOCIATION BETWEEN COOPERVISION LENSES AND THE EVENT IS UNCONFIRMED.
Description of Event or Problem · 1
IT WAS REPORTED THAT THE PATIENT WAS EXPERIENCING KERATITIS AND NEOVASCULARIZATION IN THE LEFT (OS) EYE WITH BLOOD VESSELS ENCROACHING ON THE PUPIL. GOOD FAITH EFFORTS HAVE BEEN MADE TO OBTAIN ADDITIONAL MEDICAL INFORMATION WITHOUT SUCCESS, ADDITIONAL INFORMATION IS UNKNOWN. THIS EVENT IS BEING REPORTED DUE TO LACK OF MEDICAL INFORMATION, AND UNKNOWN RESOLUTION.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 914595 | HYDRASOFT TORIC (METHAFILCON B) | HYDRASOFT TORIC (METHAFILCON B) | LPL | COOPERVISION, INC. | HT0390312H |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | Other |