BOSTON SIMPLUS MULTI-ACTION SOLUTION

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a consumer,foreign,health profe report with the FDA on 2018-03-30 for BOSTON SIMPLUS MULTI-ACTION SOLUTION manufactured by Bausch + Lomb.

Event Text Entries

[103967403] The ph of the solution evaluated by the hospital was reported to be 9. The complaint sample was not returned for evaluation. The ph for boston simplus is between 6. 5-7. 7. A review of the manufacturing records and testing of a retain sample of the reported lot found the product met all acceptance criteria at the time of manufacture and distribution. Based on reported confusion regarding product usage, the difference in product ph and hospital reported ph, the lack of returned product for evaluation, and the retain test which demonstrated the product met acceptance criteria, no causal factors can be determined and no conclusion can be drawn.
Patient Sequence No: 1, Text Type: N, H10


[103967404] Consumer reported severe pain when inserting the gas permeable contact lens for the right eye. The consumer reported that she had difficulty removing the lens. Following removal, the consumer washed the eye with water. Since there was no relief, the consumer sought medical attention. Hospital medical records indicated the patient thought the solution was her eye drops and soaked the lens in the solution prior to putting in the eye. The records indicated that the ph of the eye and the solution was 9, and a saline irrigation was administered. Examination observed a 0. 5 cm by 0. 5 cm corneal abrasion over the pupil. The consumer reported seeing a specialist who carried out further treatment and applied an eye patch. Consumer reported wearing the eye patch for three days. Doctor reported that consumer? S sight had restored.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number0001313525-2016-00568
MDR Report Key7385706
Report SourceCONSUMER,FOREIGN,HEALTH PROFE
Date Received2018-03-30
Date of Report2016-04-18
Date of Event2016-03-27
Date Mfgr Received2016-04-18
Device Manufacturer Date2015-02-18
Date Added to Maude2018-03-30
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Reporter OccupationPATIENT
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Manufacturer ContactMS. TES PROUD
Manufacturer Street1400 NORTH GOODMAN
Manufacturer CityROCHESTER NY 14609
Manufacturer CountryUS
Manufacturer Postal14609
Manufacturer Phone5853388549
Manufacturer G1BAUSCH + LOMB-IOM S.P.A.
Manufacturer StreetVIA PASUBIO 34 20050 MACHERIO
Manufacturer CityMILAN, ITALY 20846
Manufacturer CountryUS
Manufacturer Postal Code20846
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameBOSTON SIMPLUS MULTI-ACTION SOLUTION
Generic NamePRODUCTS, CONTACT LENS CARE, RIGID GAS PERMEABLE
Product CodeMRC
Date Received2018-03-30
Lot NumberBF091.1
ID NumberNI
Device Expiration Date2017-02-28
OperatorLAY USER/PATIENT
Device AvailabilityN
Device Eval'ed by MfgrR
Device Sequence No1
Device Event Key0
ManufacturerBAUSCH + LOMB
Manufacturer Address1400 NORTH GOODMAN STREET ROCHESTER NY 14609 US 14609


Patients

Patient NumberTreatmentOutcomeDate
101. Other 2018-03-30

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