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 2016-07-22 for IDESIGN AWS SYSTEM 0110-2261 manufactured by Abbott Medical Optics.

Event Text Entries

[50191538] (b)(4). Field service specialist (fss) completed system checkout. The 4th ring on the target appeared to be dim and he increased the brightness of the inner rings. Fss deleted printer drivers, reinstalled and verified proper operation. All pertinent information available to abbott medical optics has been submitted.
Patient Sequence No: 1, Text Type: N, H10


[50191539] Customer reported one patient was 20/40 best corrected visual acuity post op. The site did not expect to follow up with the patient. This report is for the wavefront measurement.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number3006695864-2016-00737
MDR Report Key5815185
Report SourceHEALTH PROFESSIONAL,USER FACI
Date Received2016-07-22
Date of Report2016-07-22
Date of Event2016-06-22
Date Mfgr Received2016-06-27
Device Manufacturer Date2016-06-08
Date Added to Maude2016-07-22
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 Received2016-07-22
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. Other 2016-07-22

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