HEALON PRO TH85ML UE31742

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a company representative,foreig report with the FDA on 2020-03-27 for HEALON PRO TH85ML UE31742 manufactured by Johnson & Johnson Surgical Vision, Inc..

Event Text Entries

[186177212] Age/date of birth: unknown, information not provided. Gender/sex: unknown, information not provided. If implanted; give date: healon pro is not an implantable device. If explanted; give date: healon pro is not an implantable device; therefore, not explanted. (b)(6). Device evaluation: no sample was returned for investigation and therefore product evaluation cannot be performed. A product deficiency is not confirmed. Manufacturing record evaluation: the manufacturing records for the intraocular lens were reviewed. The product was manufactured and released according to specification.? A search revealed that no additional complaints for this order number have been received. Conclusion: as a result of the investigation, there is no indication of a product quality deficiency. All pertinent information available to johnson and johnson surgical vision, inc. Has been submitted.
Patient Sequence No: 1, Text Type: N, H10


[186177213] It was reported that the intraocular lens (iol) was implanted after correct set-up of the unit using healon pro as per direction for use. Doctor discovered a particle later and removed it without expanding wound or anything. As per the surgeon it is unclear if the particle came from the healon pro or the iol. No further information provided. This mdr report pertains to the suspect healon pro. A separate report will be submitted for the suspect iol.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number3004750704-2020-00023
MDR Report Key9892117
Report SourceCOMPANY REPRESENTATIVE,FOREIG
Date Received2020-03-27
Date of Report2020-03-27
Date of Event2020-02-25
Report Date2005-01-01
Date Reported to FDA2005-01-01
Date Reported to Mfgr2005-01-10
Date Mfgr Received2020-02-28
Date Added to Maude2020-03-27
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 StreetRAPSGATAN
Manufacturer CityUPPSALA 751 82
Manufacturer CountrySE
Manufacturer Postal Code751 82
Single Use0
Previous Use Code0
Event Type3
Type of Report3

Device Sequence Number: 1

Brand NameHEALON PRO
Generic NameOVDS
Product CodeLZP
Date Received2020-03-27
Model NumberTH85ML
Catalog NumberUE31742
OperatorHEALTH PROFESSIONAL
Device AvailabilityN
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 Received2020-03-27
Device Sequence No101
Device Event Key0


Patients

Patient NumberTreatmentOutcomeDate
10 2020-03-27

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