MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a user facility report with the FDA on 2020-03-27 for SOFTEC I SOFTECI+20.0 manufactured by Lenstec Barbados Inc..
Report Number | 9613160-2020-00010 |
MDR Report Key | 9889562 |
Report Source | USER FACILITY |
Date Received | 2020-03-27 |
Date of Report | 2020-03-27 |
Date of Event | 2020-03-03 |
Date Mfgr Received | 2020-03-03 |
Device Manufacturer Date | 2019-11-26 |
Date Added to Maude | 2020-03-27 |
Event Key | 0 |
Report Source Code | Manufacturer report |
Manufacturer Link | Y |
Number of Patients in Event | 0 |
Adverse Event Flag | 3 |
Product Problem Flag | 3 |
Reprocessed and Reused Flag | 3 |
Health Professional | 3 |
Initial Report to FDA | 3 |
Report to FDA | 3 |
Event Location | 3 |
Manufacturer Contact | MR. JIMMY CHACKO |
Manufacturer Street | 1765 COMMERCE AVE. N. |
Manufacturer City | ST. PETERSBURG, FL |
Manufacturer Country | US |
Manufacturer Phone | 5712272 |
Manufacturer G1 | LENSTEC BARBADOS INC. |
Manufacturer Street | AIRPORT COMMERCIAL CENTRE PILGRIM ROAD |
Manufacturer City | CHRIST CHURCH, |
Manufacturer Country | BB |
Single Use | 3 |
Previous Use Code | 3 |
Event Type | 3 |
Type of Report | 3 |
Brand Name | SOFTEC I |
Generic Name | INTRAOCULAR LENS |
Product Code | HQL |
Date Received | 2020-03-27 |
Model Number | SOFTECI+20.0 |
Catalog Number | SOFTEC I |
Lot Number | SB08234 |
Operator | HEALTH PROFESSIONAL |
Device Availability | Y |
Device Eval'ed by Mfgr | N |
Device Sequence No | 1 |
Device Event Key | 0 |
Manufacturer | LENSTEC BARBADOS INC. |
Manufacturer Address | AIRPORT COMMERCIAL CENTRE PILGRIM ROAD CHRIST CHURCH, BB |
Patient Number | Treatment | Outcome | Date |
---|---|---|---|
1 | 0 | 2020-03-27 |