DAILIES TOTAL 1 CBV92004051

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a health professional report with the FDA on 2019-12-30 for DAILIES TOTAL 1 CBV92004051 manufactured by Alcon Research, Llc.

Event Text Entries

[175222967] The lot number was not provided and the complaint sample was not made available for evaluation. The investigation consisted of a review of the complaint trend for category corneal ulcer infectious for delefilcon (dailies total 1) product. A product specific investigation was not performed as no lot number was available. No sample evaluation was completed as no product was returned. There were no adverse trends identified for complaint category corneal ulcer infectious for this product from (b)(6) 2017 to (b)(6) 2019. A root cause was not confirmed. The manufacturer internal reference number is: (b)(4).
Patient Sequence No: 1, Text Type: N, H10


[175222968] It was reported by an eye care professional on 05dec2019, that three consumers had come into office with corneal ulcers over the course of the past month. It was reported that none of the consumers were misusing the lenses in any way. Additional information has been requested but not yet received.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number1065835-2019-00021
MDR Report Key9529234
Report SourceHEALTH PROFESSIONAL
Date Received2019-12-30
Date of Report2020-03-09
Date of Event2019-10-16
Date Mfgr Received2020-02-13
Device Manufacturer Date2017-03-08
Date Added to Maude2019-12-30
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Reporter OccupationOTHER HEALTH CARE PROFESSIONAL
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Manufacturer ContactMR. JONATHAN SCHLECH
Manufacturer Street6201 SOUTH FREEWAY MAIL STOP AB2-6
Manufacturer CityFORT WORTH TX 76134
Manufacturer CountryUS
Manufacturer Postal76134
Manufacturer Phone8175514979
Manufacturer G1ALCON RESEARCH, LLC
Manufacturer Street11440 JOHNS CREEK PARKWAY
Manufacturer CityDULUTH GA 30097
Manufacturer CountryUS
Manufacturer Postal Code30097
Single Use3
Previous Use Code3
Removal Correction NumberNA
Event Type3
Type of Report3

Device Details

Brand NameDAILIES TOTAL 1
Generic NameLENSES, SOFT CONTACT, DAILY WEAR
Product CodeLPL
Date Received2019-12-30
Returned To Mfg2020-01-24
Model NumberNA
Catalog NumberCBV92004051
Lot NumberA5022716
Device Expiration Date2020-02-29
OperatorLAY USER/PATIENT
Device AvailabilityR
Device AgeDA
Device Eval'ed by MfgrY
Device Sequence No1
Device Event Key0
ManufacturerALCON RESEARCH, LLC
Manufacturer Address11440 JOHNS CREEK PARKWAY DULUTH GA 30097 US 30097


Patients

Patient NumberTreatmentOutcomeDate
101. Other 2019-12-30

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