SYNERGEYES HYBRID DAILY CONTACTS - PS PS8886-0175L2/H.10

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a 05 report with the FDA on 2014-06-05 for SYNERGEYES HYBRID DAILY CONTACTS - PS PS8886-0175L2/H.10 manufactured by Synergeyes.

Event Text Entries

[22211500] Second device returned: model #: ps888-0550l2, lot #: 057235, expiration date: 03/01/2019. During the investigation, the following information was obtained: for device 1 (lot #046764) base curve (bc) measured using radius scope and power measured using lensometer, both bc and power were found to be within specifications. No defects were noted on surface and no correlation was found between the alleged injury and the lens processing history. For device 2 (lot #057235) base curve (bc) measured using radius scope and power measured using lensometer, both bc and power were found to be within specifications. No defects were noted on surface and no correlation was found between the alleged injury and the lens processing history. Conclusion: alleged corneal abrasion occurred during specified fitting period, possibly due to poor fit, and resolved with discontinuation of use. Attending ecp stated patient was using poor removal method, which may have contributed to the alleged injury. No defects were found and no correlation was found between the alleged injury and the lens processing history.
Patient Sequence No: 1, Text Type: N, H10


[22269008] On (b)(4) 2014, synergeyes received a complaint wherein the patient sustained a corneal abrasion leading to iritis in os and od. Complaint stated: upon removal of lenses, patient had extreme discomfort which, according to the attending ecp, is possibly due to a poor insertion and removal technique, the patient used. Severe pain and photophobia followed, the patient's "staff" physician applied an eye patch to the od. Origin of pain and photophobia was found to be a corneal abrasion with subsequent iritis. Thereafter, the patient discontinued use of "all" contact lenses. On (b)(6) 2014, synergeyes contacted "(b)(6)", an office attendant for doctors (b)(6), and obtained the following information: 1) patient started wearing lenses on a saturday at work before (b)(6) 2014 and experienced pain. An on-site physician applied an eyepatch to od. Patient saw attending ecp on (b)(6) 2014 when vigamox was prescribed. 2) on (b)(6) 2014, patient returned to ecp with sore eyes, treated again with vigamox. The following day, (b)(6) 2014, patient tried to wear lenses again. Patient returned to ecp office on (b)(6) 2014 with same pain. Upon examination, attending ecp diagnosed patient with keratoconjunctivitis and iritis once again prescribing vigamox. 3) attending ecp determined that the contacts in question were a tight fit and that the patient used a poor removal technique, which may have contributed to the injury. 4) patient had lasik surgery in 1998, which is why the lenses were of the post surgery line of synergeyes products.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number3005087645-2014-00012
MDR Report Key3874023
Report Source05
Date Received2014-06-05
Date of Report2014-06-02
Date of Event2014-04-28
Date Mfgr Received2014-05-19
Date Added to Maude2014-06-17
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Health Professional3
Initial Report to FDA3
Report to FDA0
Event Location0
Manufacturer ContactKAREN KINCADE, DIRECTOR
Manufacturer Street2232 RUTHERFORD ROAD
Manufacturer CityCARLSBAD CA 92008
Manufacturer CountryUS
Manufacturer Postal92008
Manufacturer Phone7604449636
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameSYNERGEYES HYBRID DAILY CONTACTS - PS
Generic NameCONTACT LENS
Product CodeHQD
Date Received2014-06-05
Returned To Mfg2014-05-19
Model NumberPS8886-0175L2/H.10
Lot Number046764/SEE H.10
Device Expiration Date2017-09-01
OperatorLAY USER/PATIENT
Device AvailabilityY
Device AgeDA
Device Eval'ed by MfgrY
Device Sequence No1
Device Event Key0
ManufacturerSYNERGEYES
Manufacturer AddressCARLSBAD CA


Patients

Patient NumberTreatmentOutcomeDate
101. Required No Informationntervention 2014-06-05

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