BEUDAMED
    FDA Adverse Event Injury Summary report: N

    AMO COMPLETE MOISTURE PLUS

    MDR report key: 926116 · Received October 4, 2007

    Report

    Report Number
    MW5003995
    Event Type
    Injury
    Date Received
    October 4, 2007
    Date of Event
    September 29, 2007
    Report Date
    October 4, 2007
    Manufacturer
    ADVANCED MEDICAL OPTICS, INC
    Product Code
    LPN
    Adverse Event
    Yes
    Report Source
    Voluntary report
    Reporter Location
    MD, US
    Reporter Occupation
    PATIENT FAMILY MEMBER OR FRIEND

    Narratives

    Description of Event or Problem · 1

    DAUGHTER IS CURRENTLY BEING AGGRESSIVELY TREATED FOR AN "ULCERATED CORNEA". DOSE OR AMOUNT: LENS CONTAINER. FREQUENCY: DAILY. ROUTE: INTRAOCULAR. DATES OF USE: APPROX NINE MONTHS IN 2007. DIAGNOSIS OR REASON FOR USE: CONTACT LENS CLEANER. EVENT ABATED AFTER USE STOPPED: NO.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 AMO COMPLETE MOISTURE PLUS NONE LPN ADVANCED MEDICAL OPTICS, INC ABO1629

    Patients

    Seq Age Sex Outcome Treatment
    1 15 YR Other| R| S