FDA Adverse Event Other Summary report: N

OPTI-FREE REPLENISH MULTI-PURPOSE DISINFECTING SOLUTION

MDR report key: 990442 · Received November 16, 2007

Report

Report Number
1610287-2007-00056
Event Type
Other
Date Received
November 16, 2007
Date of Event
July 24, 2007
Report Date
October 24, 2007
Manufacturer
ALCON - FT WORTH, ALCON LABORATORIES, INC
Product Code
LPN
PMA / PMN Number
K050729
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
MD, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

EVAL SUMMARY: THE COMPLAINT DEVICE ASSOCIATED WITH THIS REPORT HAS NOT BEEN REC'D FOR EVAL. EVAL OF RETENTION SAMPLE FROM LOT 120688F AND BATCH RECORD REVIEW ARE IN PROGRESS. NO SIMILAR REPORTS FOR LOT 120688F.

Description of Event or Problem · 1

A CONSUMER REPORTED THAT SHE AND HER SON EXPERIENCED "EXTREME REDNESS, BURNING, WEEPING EYES, LIMITED DISCHARGE, HEADACHES, AND CHANGE IN VISION" WHILE USING THIS PROD FOR A PERIOD OF SIX MONTHS. SHE STATED THE SYMPTOMS RESOLVED WHEN CONTACT LENS WEAR AND PROD USE WERE DISCONTINUED AND REAPPEARED WHEN THEY RESUMED CONTACT LENS WEAR AND PROD USE. THE CONSUMER INDICATED SHE AND HER SON WEAR DIFFERENT BRANDS OF CONTACT LENSES (UNSPECIFIED). CONSUMER ID INFO WAS NOT RELEASED. TWO MEDWATCH REPORTS FOR THIS REPORT: 1610287-2007-55 AND1610287-2007-56.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 OPTI-FREE REPLENISH MULTI-PURPOSE DISINFECTING SOLUTION LENS CARE DISINFECTING SOLUTIONS LPN ALCON - FT WORTH, ALCON LABORATORIES, INC NA 120688F

Patients

Seq Age Sex Outcome Treatment
1 12 YR Other CONTACT LENSES (UNK BRAND AND DATES)