MAUDE MDR 24761352

MDR report key
24761352
Report number
3016440358-2026-00001
Event key
0
Event type
3
Date of event
2026-02-23
Date received
2026-04-01
Adverse event
1
Product problem
0
Patients in event
0
Reporter occupation
3
Health professional
0
Initial report to FDA
0
Event location
0

Manufacturer Contact#

Contact
MS ROSEMARY HAYES
Address
5051 KATHRYN AVE FRANKLIN TN 37064 US
Phone
855-855-8555
Report source
M

Devices#

Seq, Brand, Generic table
SeqBrandGenericManufacturerProduct codeModelCatalogLotPMA510(k)ImplantEvaluatedAvailability
227977TANGIBLE FILLSCLERAL SALINEDRY EYE INNOVATIONSMRC2090L684YN

Patients#

Sequence, Received, Treatment table
SequenceReceivedTreatmentOutcome
12026-04-010O

Event Narratives#

N

Patient 0

THIS REPORT IS BEING FILED IMMEDIATELY AFTER THE MANUFACTURER WAS GRANTED ACCESS TO NEXGEN/WEBTRADER.

D

Patient 0

CUSTOMER REPORTED: THEY HAVE BEEN USING TANGIBLE FILL FOR FIVE MONTHS AND RECENTLY ON INSERTING THE EYE BURNED LIKE IT WAS THE CLEAR CARE SHE SOAKS THEM IN OVERNIGHT. THE LENS WAS REMOVED, EYE WAS BLOODSHOT. THEY USED ANOTHER VIAL FROM THE SAME LOT IN THEIR OTHER EYE WITHOUT ISSUE AFTER RINSING. THE LOT WAS L684.