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 2016-08-31 for IDESIGN AWS SYSTEM 0110-2261 manufactured by Abbott Medical Optics.

Event Text Entries

[53661406] (b)(4). Applications support specialist verified the calibration of the idesign and looked at the fixation target and verified it. Everything was within specifications and the fixation target looked good. All pertinent information available to abbott medical optics has been submitted.
Patient Sequence No: 1, Text Type: N, H10


[53661407] Surgeon reported patient had original procedure on (b)(6) 2015. Patient post op was: one month: right 3. 25 -0. 50 61 uncorrected 20/20; left 3. 00 -0. 50 14 uncorrected 20/25. Three months: right 3. 50 -0. 75 95 best corrected 20/15; left 3. 75 -0. 75 120 best corrected 20/15. Surgeon did enhancement at 3 months. Prescription 3 months post enhancement: right uncorrected 20/20. Left 2. 25 -1. 50 x 20 uncorrected is 20/30 and best corrected is 20/30+.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number3006695864-2016-00810
MDR Report Key5919546
Report SourceHEALTH PROFESSIONAL,USER FACI
Date Received2016-08-31
Date of Report2016-08-31
Date of Event2015-12-30
Date Mfgr Received2016-08-04
Device Manufacturer Date2015-12-17
Date Added to Maude2016-08-31
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 Received2016-08-31
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 2016-08-31

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