RAINDROP CORNEAL INLAY

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2019-04-04 for RAINDROP CORNEAL INLAY manufactured by Revision Optics / Rvo 2.0, Inc..

Event Text Entries

[141105299] Fin (b)(6) 2017, i had a raindrop corneal inlay implanted in my right eye. One year later in (b)(6) 2018, i developed corneal haze which affected my vision. I had the lens replaced and the haze was treated. Approx 1 yr later in (b)(6) 2019, i developed the haze again and this time caused headaches. Blurred vision, and loss of depth perception. On (b)(6) , i had the inlay removed. Fda safety report id# (b)(4).
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report NumberMW5085602
MDR Report Key8487179
Date Received2019-04-04
Date of Report2019-04-02
Date of Event2019-03-22
Date Added to Maude2019-04-05
Event Key0
Report Source CodeVoluntary report
Manufacturer LinkN
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
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Sequence Number: 1

Brand NameRAINDROP CORNEAL INLAY
Generic NameIMPLANT, CORNEAL, REFRACTIVE - RAINDROP POOR VISION INLAY
Product CodeLQE
Date Received2019-04-04
Device AvailabilityN
Device Eval'ed by MfgrI
Device Sequence No1
Device Event Key0
ManufacturerREVISION OPTICS / RVO 2.0, INC.

Device Sequence Number: 2

Brand NameRAINDROP CORNEAL INLAY
Generic NameIMPLANT, CORNEAL, REFRACTIVE - RAINDROP POOR VISION INLAY
Product CodeLQE
Date Received2019-04-04
Device Availability*
Device Eval'ed by MfgrI
Device Sequence No2
Device Event Key0
ManufacturerREVISION OPTICS / RVO 2.0, INC.


Patients

Patient NumberTreatmentOutcomeDate
1811. Other; 2. Required No Informationntervention 2019-04-04

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