IDESIGN AWS SYSTEM 0110-2261

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a health professional,user faci report with the FDA on 2016-07-01 for IDESIGN AWS SYSTEM 0110-2261 manufactured by Abbott Medical Optics.

Event Text Entries

[48712371] (b)(4). Field service specialist (fss) was unable to verify either issue nor isolate a probable cause after checking equipment and troubleshooting. Opened head and observed surfaces are clear of dust and other particles. Hss spot retention prior to optic cleaning is 1437 of 1444 spots and after cleaning is 1431 of 1450 spots for a percentage ratio of less than 1. 5 percent in both cases. Target evaluation was performed and found system within specifications. Observed that target shuts off when privacy screen becomes active but will return when privacy screen ends. Loosened adjustment set screw to provide smoother operation of head in side to side action. Observed lane length set at 20 ft. All pertinent information available to abbott medical optics has been submitted.
Patient Sequence No: 1, Text Type: N, H10


[48712372] Account reported having patient with overcorrection and problems with accommodation. Patient had original surgery on (b)(6) 2016 best corrected visual acuity (bcva) 20/20+ in both eyes. Microstriae was reported on left eye on (b)(6) 2016 and flap lift and smooth in left eye was performed next day. On (b)(6) 2016 bcva in both eyes is 20/20, patient is waiting to have enhancement procedure.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number3006695864-2016-00665
MDR Report Key5767051
Report SourceHEALTH PROFESSIONAL,USER FACI
Date Received2016-07-01
Date of Report2016-07-01
Date of Event2016-01-28
Date Mfgr Received2016-06-02
Device Manufacturer Date2015-12-03
Date Added to Maude2016-07-01
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 FDA3
Event Location3
Manufacturer ContactMRS. VALERIE SEDZICKI
Manufacturer Street1700 EAST ST. ANDREW PLACE
Manufacturer CitySANTA ANA CA 92705
Manufacturer CountryUS
Manufacturer Postal92705
Manufacturer Phone7142478567
Manufacturer G1ABBOTT MEDICAL OPTICS INC.
Manufacturer Street510 COTTONWOOD DRIVE
Manufacturer CityMILPITAS CA 95035
Manufacturer CountryUS
Manufacturer Postal Code95035
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameIDESIGN AWS SYSTEM
Generic NameREFRACTIVE MEASUREMENT
Product CodeHKO
Date Received2016-07-01
Model Number0110-2261
OperatorHEALTH PROFESSIONAL
Device AvailabilityY
Device Eval'ed by MfgrR
Device Sequence No1
Device Event Key0
ManufacturerABBOTT MEDICAL OPTICS
Manufacturer AddressSANTA ANA CA US


Patients

Patient NumberTreatmentOutcomeDate
101. Required No Informationntervention 2016-07-01

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