BOSTON ORTHOKERATOLOGY (OPRIFOCON A) SHAPING LENS

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a 00,01,05,08 report with the FDA on 2007-03-23 for BOSTON ORTHOKERATOLOGY (OPRIFOCON A) SHAPING LENS manufactured by Bausch & Lomb.

Event Text Entries

[606074] A distributor reports that an eyecare practitioner fit a pt with a trial pair of lenses for overnight. The pt changed the water in her fish tank that night and accidentally splashed water into her eyes. The following day, she presented to the hcp with complaints of discomfort in one eye and she was told to discontinue use of the contact lenses. The discomfort persisted and the pt presented to her general practitioner who prescribed tetracycline application to her eyes. The condition worsened the following day and the pt presented to the eye hosp. The ophthalmologist examined the eye tissue and inspected the contact lenses. The pt was diagnosed with a fungal infection. It was reported that the event "has nothing to do with" the contact lenses. The pt is now under close observation and if no improvement, a corneal transplant may be required.
Patient Sequence No: 1, Text Type: D, B5


[7869201] No product was returned and no lot number info was provided. The pt changed the water in her fish tank and reported splashing water into her eyes the night prior to the onset. It was reported the event "has nothing to do with" the lenses.
Patient Sequence No: 1, Text Type: N, H10


MAUDE Entry Details

Report Number1313525-2007-00059
MDR Report Key830738
Report Source00,01,05,08
Date Received2007-03-23
Date of Report2007-03-12
Date of Event2007-03-01
Date Mfgr Received2007-03-12
Date Added to Maude2007-03-27
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 Location0
Manufacturer ContactTES PROUD
Manufacturer Street1400 N. GOODMAN ST
Manufacturer CityROCHESTER NY 14609
Manufacturer CountryUS
Manufacturer Postal14609
Manufacturer Phone5853388549
Manufacturer G1BAUSCH & LOMB WILMINGTON
Manufacturer Street100 RESEARCH DR
Manufacturer CityWILMINGTON MA 01887440
Manufacturer CountryUS
Manufacturer Postal Code01887 4406
Single Use3
Remedial ActionOT
Previous Use Code3
Removal Correction NumberNA
Event Type3
Type of Report3

Device Details

Brand NameBOSTON ORTHOKERATOLOGY (OPRIFOCON A) SHAPING LENS
Generic NameGAS PERMEABLE CONTACT LENS
Product CodeMUW
Date Received2007-03-23
Model NumberNA
Catalog NumberNA
Lot NumberUNK
ID NumberNA
OperatorLAY USER/PATIENT
Device AvailabilityN
Device Eval'ed by MfgrR
Implant FlagN
Date RemovedA
Device Sequence No1
Device Event Key818087
ManufacturerBAUSCH & LOMB
Manufacturer Address1400 NORTH GOODMAN ST. ROCHESTER NY 14609 US


Patients

Patient NumberTreatmentOutcomeDate
101. Required No Informationntervention 2007-03-23

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