FDA Adverse Event Injury Summary report: N

CATALYS SYSTEM

MDR report key: 7688283 · Received July 13, 2018

Report

Report Number
3005675890-2018-00055
Event Type
Injury
Date Received
July 13, 2018
Date of Event
June 11, 2018
Report Date
October 30, 2020
Manufacturer
JOHNSON & JOHNSON SURGICAL VISION, INC
Product Code
OOE
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Occupation
PHYSICIAN

Narratives

Additional Manufacturer Narrative · 0

THIS CORRECTION MDR IS BEING SUBMITTED TO ADDRESS INACCURATE INFORMATION IN SECTION F ON THE XML VERSION OF THE PREVIOUS SUBMISSION CAUSED BY A SOFTWARE GLITCH IN THE TRANSMISSION PROCESS. THE INTERNAL NON-CONFORMANCE NUMBERS FOR THIS SOFTWARE ISSUE ARE NR-0148919 AND CAPA-010215.

Additional Manufacturer Narrative · 1

THIS REPORT IS BEING FILED ON AN INTERNATIONAL PRODUCT; LASER CORRECTION SYSTEM, MODEL CATALYS-I, THAT HAS A SIMILAR PRODUCT, CATALYS-U WHICH IS DISTRIBUTED IN THE UNITED STATES UNDER 510(K) # K121091. A REVIEW OF RECORDS RELATED TO THE DEVICE INCLUDING LABELING, COMPLAINT TRENDING, AND RISK DOCUMENTATION WILL BE PERFORMED. UPON COMPLETION OF THIS REVIEW, IF THERE IS ANY FURTHER RELEVANT INFORMATION OBTAINED, A SUPPLEMENTAL MEDWATCH WILL BE FILED. ALL PERTINENT INFORMATION AVAILABLE TO JOHNSON & JOHNSON SURGICAL VISION, INC HAS BEEN SUBMITTED.

Description of Event or Problem · 1

IT WAS REPORTED THAT WHEN CAPSULOTOMY WAS PERFORMED A FILAMENTOUS REMNANT AND A TEAR OCCURRED. THE ACCOUNT MENTIONED THAT THE FIXATION OF THE HEADREST OF THE BED WAS LOOSE AND THE HEAD WAS NOT FIXED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
527644 CATALYS SYSTEM CATALYS OOE JOHNSON & JOHNSON SURGICAL VISION, INC CATALYS-I

Patients

Seq Age Sex Outcome Treatment
1 Other