FDA Adverse Event Malfunction Summary report: N

CATALYS SYSTEM

MDR report key: 7356498 · Received March 21, 2018

Report

Report Number
3005675890-2018-00012
Event Type
Malfunction
Date Received
March 21, 2018
Date of Event
February 21, 2018
Report Date
April 23, 2018
Manufacturer
JOHNSON & JOHNSON SURGICAL VISION, INC.
Product Code
OOE
UDI-DI
05050474609792
PMA / PMN Number
K121091
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
OH, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

JOHNSON & JOHNSON SURGICAL VISION, INC. INVESTIGATION SUBSEQUENTLY IDENTIFIED THAT THE CATALYS SYSTEM MAY HAVE A REMOTE POTENTIAL EVENT WHERE LOSS OF SUCTION DURING LASER FIRING COULD CREATE A HAZARDOUS SITUATION THAT MAY RESULT IN SCORING OF THE POSTERIOR CORNEAL SURFACE. THEREFORE JOHNSON & JOHNSON SURGICAL VISION, INC HAS ISSUED AN ADVISORY NOTICE TO REINFORCE INSTRUCTIONS PROVIDED IN PRODUCT TRAINING AND IN THE OPERATOR¿S MANUAL REGARDING SUCTION LOSS DURING A PROCEDURE. ALL PERTINENT INFORMATION AVAILABLE TO JOHNSON & JOHNSON SURGICAL VISION, INC HAS BEEN SUBMITTED.

Additional Manufacturer Narrative · 1

DEVICE EVALUATION: A REVIEW OF THE RECORDS RELATED TO THE DEVICE THAT INCLUDED LABELING, MANUALS, TRENDING, AND RISK DOCUMENTATION WAS PERFORMED. THE TREND REVIEW SHOWS THAT THERE IS NOT SIGNIFICANT CHANGE OVER HISTORICAL COMPLAINT LIMITS AND NO RECOGNIZABLE ADVERSE TREND. THE RISKS AND MITIGATIONS ASSOCIATED WITH THE COMPLAINT ISSUE ARE IDENTIFIED IN EXISTING RISK DOCUMENTS AND NO NEW RISKS WERE IDENTIFIED AS PART OF THIS INVESTIGATION. THERE WAS NO PRODUCT DEFICIENCY IDENTIFIED. ALL PERTINENT INFORMATION AVAILABLE TO JOHNSON & JOHNSON SURGICAL VISION, INC HAS BEEN SUBMITTED.

Description of Event or Problem · 1

ACCOUNT REPORTED THAT THERE WAS SUCTION LOSS WHILE LASER FIRED DURING AT THE END OF FRAGMENTATION. ACCOUNT WAS ABLE TO COMPLETE THE TREATMENT OF ARCUATE INCISIONS WITH A DIFFERENT LIQUID OPTICS INTERFACE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
201272 CATALYS SYSTEM CATALYS OOE JOHNSON & JOHNSON SURGICAL VISION, INC. CATALYS-U 05050474609792

Patients

Seq Age Sex Outcome Treatment
1