MAUDE MDR 9628992

MDR report key
9628992
Report number
3004178847-2020-00003
Event key
0
Event type
3
Date received
2020-01-24
Adverse event
3
Product problem
3
Patients in event
0
Reporter occupation
0
Health professional
0
Initial report to FDA
0
Event location
3

Manufacturer Contact#

Contact
SOMYATA NAGPAL
Address
1700 EAST ST. ANDREW PLACE SANTA ANA CA 92705 US
Phone
714-714-7142
Report source
M
Manufacturer link flag
Y

Devices#

Seq, Brand, Generic table
SeqBrandGenericManufacturerProduct codeModelCatalogLotPMA510(k)ImplantEvaluatedAvailability
1BLINK-N-CLEANREWETTERSJOHNSON & JOHNSON SURGICAL VISION, INC.LPN08772XZD05433 N
101---

Patients#

Sequence, Received, Treatment table
SequenceReceivedTreatmentOutcome
12020-01-2401. R

Event Narratives#

N

Patient 1

AGE/DATE OF BIRTH: UNKNOWN, INFORMATION NOT PROVIDED. DATE OF EVENT: EXACT DATE UNKNOWN, INFORMATION NOT PROVIDED. BEST ESTIMATE IS BETWEEN (B)(6) 2019. (B)(4). DEVICE EVALUATION: THE PRODUCT TESTING COULD NOT BE PERFORMED AS THE PRODUCT WAS NOT RETURNED. THE REPORTED COMPLAINT COULD NOT BE VERIFIED. MANUFACTURING RECORD REVIEW: THE MANUFACTURING RECORDS FOR THE PRODUCT WERE REVIEWED. THE PRODUCT WAS MANUFACTURED AND RELEASED ACCORDING TO SPECIFICATIONS. A SEARCH REVEALED THAT NO COMPLAINT WAS REPORTED IN THE PREVIOUS 12 MONTHS. CONCLUSION: AS A RESULT OF THE INVESTIGATION THERE IS NO INDICATION OF A PRODUCT QUALITY DEFICIENCY AND THE REPORTED ISSUE COULD NOT BE VERIFIED. ALL PERTINENT INFORMATION AVAILABLE TO JOHNSON & JOHNSON SURGICAL VISION, INC. HAS BEEN SUBMITTED.

D

Patient 1

CONSUMER REPORTED THAT SHE PURCHASED BLINK AND CLEAN LENS DROPS AROUND (B)(6) BUT UPON USING THE DROPS SHE EXPERIENCED IRRITATION, TINGLING AND BUMPS. SHE STOPPED USING THE DROPS AND THE SYMPTOMS ABATED. HER DOCTOR PRESCRIBED ANTIBIOTICS AND BLINK LUBRICATING DROPS FOR HER DRY EYE AND TO PROVIDE IMMEDIATE COMFORT. SHE TRIED THE BLINK AND CLEAN LENS DROPS AGAIN YESTERDAY ((B)(6) 2020) AND EXPERIENCED THE SAME THING PLUS IRRITATION ON THE EYE LID AND THE SKIN AROUND THE EYE. HER EYES FEEL BETTER BUT ARE STILL TENDER. THRU ADDITIONAL FOLLOW-UP THE CONSUMER REITERATED THAT HER EYES FEEL BETTER ALTHOUGH THERE IS STILL DISCOMFORT. ADDITIONALLY, SHE REPORTED THAT HER EYES ARE SENSITIVE TO ?SCREENS? AND LIGHT. NO FURTHER INFORMATION WAS PROVIDED.