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 2016-10-20 for IDESIGN AWS SYSTEM 0110-2261 manufactured by Abbott Medical Optics.

Event Text Entries

[58016483] (b)(4). Field service specialist (fss) visited the account and found no problems with the system as it met abbott? S specifications. As a proactive measure fss replaced the aberrometer and transferred customers database over to the new computer and gave the customer the hard drives out of other computer. All pertinent information available to abbott medical optics has been submitted.
Patient Sequence No: 1, Text Type: N, H10


[58016484] The clinic reported that a laser vision correction patient had photorefractive keratectomy surgery on (b)(6) 2015 and presented at the 6 months post treatment visit with overcorrection in right eye. It was stated that the patient had no loss of best corrected visual acuity (bcva). Patient manifest refraction at the 6 months follow up visit for right eye was 2. 25 x 0. 75 x 125.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number3006695864-2016-00886
MDR Report Key6045926
Report SourceHEALTH PROFESSIONAL,USER FACI
Date Received2016-10-20
Date of Event2015-12-03
Date Mfgr Received2016-09-24
Date Added to Maude2016-10-20
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 Received2016-10-20
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 2016-10-20

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