MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a 01,05 report with the FDA on 2012-05-30 for RENU FRESH MULTI-PURPOSE SOLUTION manufactured by Bausch + Lomb.
[2786720]
Doctor reported a pt presenting with eye pain in both eyes. Upon examination, pt was diagnosed and treated for corneal erosion. Three weeks later at a follow up visit, the corneal erosion was improved. The injury did not penetrate the bowman's membrane and there was no permanent decrease in visual acuity. There was a central corneal scar.
Patient Sequence No: 1, Text Type: D, B5
[9931802]
The product was returned for eval and results found the solution met chemical specifications. Doctor did not relate the event to a specific product. Based on all info, no causal factor can be determined and no conclusion can be drawn.
Patient Sequence No: 1, Text Type: N, H10
Report Number | 1313525-2012-00013 |
MDR Report Key | 2596733 |
Report Source | 01,05 |
Date Received | 2012-05-30 |
Date of Report | 2012-04-27 |
Date of Event | 2012-04-15 |
Date Mfgr Received | 2012-05-21 |
Device Manufacturer Date | 2011-06-01 |
Date Added to Maude | 2012-06-05 |
Event Key | 0 |
Report Source Code | Manufacturer report |
Manufacturer Link | Y |
Number of Patients in Event | 0 |
Adverse Event Flag | 3 |
Product Problem Flag | 3 |
Reprocessed and Reused Flag | 3 |
Reporter Occupation | OTHER HEALTH CARE PROFESSIONAL |
Health Professional | 3 |
Initial Report to FDA | 3 |
Report to FDA | 0 |
Event Location | 0 |
Manufacturer Contact | MARLENE MARTRANO |
Manufacturer Street | 1400 NORTH GOODMAN ST GLOBAL PRODUCT SURVEILLANCE |
Manufacturer City | ROCHESTER NY 14609 |
Manufacturer Country | US |
Manufacturer Postal | 14609 |
Manufacturer Phone | 5853388995 |
Manufacturer G1 | BAUSCH + LOMB |
Manufacturer Street | 8507 PELHAM RD |
Manufacturer City | GREENVILLE SC 29615 |
Manufacturer Country | US |
Manufacturer Postal Code | 29615 |
Single Use | 3 |
Previous Use Code | 3 |
Event Type | 3 |
Type of Report | 3 |
Brand Name | RENU FRESH MULTI-PURPOSE SOLUTION |
Product Code | LYL |
Date Received | 2012-05-30 |
Returned To Mfg | 2012-05-16 |
Lot Number | GE1134 |
Device Expiration Date | 2013-05-31 |
Operator | LAY USER/PATIENT |
Device Availability | Y |
Device Age | DA |
Device Eval'ed by Mfgr | Y |
Device Sequence No | 1 |
Device Event Key | 0 |
Manufacturer | BAUSCH + LOMB |
Manufacturer Address | ROCHESTER NY US |
Patient Number | Treatment | Outcome | Date |
---|---|---|---|
1 | 0 | 1. Required No Informationntervention | 2012-05-30 |