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 2017-04-14 for IDESIGN AWS SYSTEM 0110-2261 manufactured by Abbott Medical Optics.

Event Text Entries

[72877086] Concomitant product(s): - field service specialist visited the account and cleaned optics of balanced salt solution, which was causing an artifact. Adjusted flat to plano and adjusted the sphere. Tested system. No problems found all pertinent information available to abbott medical optics has been submitted.
Patient Sequence No: 1, Text Type: N, H10


[72877087] It was reported that patient had lasik with idesign procedure and presented with overcorrection in right eye post treatment. Patient experienced loss of best corrected visual acuity (bcva) equal to or above 2 lines. No intervention was required. Right eye: pre-op: -6. 86 -0. 35 x 41 bcva 20/20, post-op: +1. 75 -0. 25 x 95 bcva 20/30.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number3006695864-2017-00230
MDR Report Key6495673
Report SourceHEALTH PROFESSIONAL,USER FACI
Date Received2017-04-14
Date of Report2017-04-14
Date of Event2017-03-10
Date Mfgr Received2017-03-20
Device Manufacturer Date2016-08-25
Date Added to Maude2017-04-14
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 ContactVALERIE 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 Received2017-04-14
Model Number0110-2261
OperatorPHYSICIAN
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 2017-04-14

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