CATALYS SYSTEM CATALYS-I

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a foreign,health professional,u report with the FDA on 2020-02-28 for CATALYS SYSTEM CATALYS-I manufactured by Johnson & Johnson Surgical Vision, Inc..

Event Text Entries

[181360286] (b)(6). A review of the records related to this equipment that included labeling, manual, trending, and risk documentation reviews for this equipment were performed. Equipment labeling provides possible complications that can be caused by the surgical/treatment procedure being performed. The trend review shows that there is not a recognizable adverse trend. The risks and mitigations associated with the complaint issue are identified in existing risk documents and no new risks were identified as part of this investigation. There was no direct relationship of the device as no failure was indicated or found. Based on the results of the investigation, a malfunction has not been identified. All pertinent information available to johnson & johnson surgical vision, inc has been submitted.
Patient Sequence No: 1, Text Type: N, H10


[181360287] It was reported that patient had single arcuate incisions done on (b)(6) 2020 with catalys and the system made a complete cut. It was mentioned that the patient was moving during the procedure and this may have caused the full cut. There was a delay in procedure to complete the surgery and the surgeon had to sutured the arcuate cut.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number3005675890-2020-00008
MDR Report Key9769254
Report SourceFOREIGN,HEALTH PROFESSIONAL,U
Date Received2020-02-28
Date of Report2020-02-28
Date of Event2020-02-01
Report Date2005-01-01
Date Reported to FDA2005-01-01
Date Reported to Mfgr2005-01-10
Date Mfgr Received2020-02-05
Date Added to Maude2020-02-28
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 Location3
Manufacturer ContactSOMYATA NAGPAL
Manufacturer Street1700 EAST ST. ANDREW PLACE
Manufacturer CitySANTA ANA CA 92705
Manufacturer CountryUS
Manufacturer Postal92705
Manufacturer Phone7142478200
Manufacturer G1JOHNSON & JOHNSON SURGICAL VISION, INC.
Manufacturer Street510 COTTONWOOD DRIVE
Manufacturer CityMILPITAS CA 95035
Manufacturer CountryUS
Manufacturer Postal Code95035
Single Use0
Previous Use Code0
Event Type3
Type of Report3

Device Sequence Number: 1

Brand NameCATALYS SYSTEM
Generic NameCATALYS
Product CodeOOE
Date Received2020-02-28
Model NumberCATALYS-I
OperatorHEALTH PROFESSIONAL
Device AvailabilityY
Device Sequence No1
Device Event Key0
ManufacturerJOHNSON & JOHNSON SURGICAL VISION, INC.
Manufacturer Address1700 E ST ANDREW PLACE SANTA ANA CA 92705 US 92705

Device Sequence Number: 101

Product Code---
Date Received2020-02-28
Device Sequence No101
Device Event Key0


Patients

Patient NumberTreatmentOutcomeDate
101. Required No Informationntervention 2020-02-28

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