inforMED
InjuryHJI

GRIESHABER DSP SURGICAL CONTACT LENS

Received Jun 26, 2023 · Event occurred May 1, 2023

Report 3003398873-2023-00127 · MDR key 17198722

Device

Generic name

Lens, Fundus, Hruby, Diagnostic

Model number

NA

Catalog number

618.60

Lot number

ASKU

Product problems

  • Adverse Event Without Identified Device or Use Problem
  • Adverse Event Without Identified Device or Use Problem

Patient

Male

  • Appropriate Clinical Signs, Symptoms and Conditions Term/Code Not Available
  • Appropriate Clinical Signs, Symptoms and Conditions Term/Code Not Available

Narrative

Description of Event or Problem

A CLINICAL STUDY REVEALED THAT DURING THE MEMBRANE PEELING SURGERY WHILE USING DISPOSABLE LENS A MALE PATIENT EXPERIENCED OCULAR TOXICITY (MACULAR) RESPONSE. PATIENT SYMPTOM'S WAS RESOLVED.

Additional Manufacturer Narrative

INVESTIGATION INCLUDING ROOT CAUSE ANALYSIS IS IN PROGRESS. A SUPPLEMENTAL MDR WILL BE FILED AS NECESSARY IN ACCORDANCE WITH 21 CFR 803.56 WHEN ADDITIONAL REPORTABLE INFORMATION BECOMES AVAILABLE. THE MANUFACTURER INTERNAL REFERENCE NUMBER IS: (B)(4).

Additional Manufacturer Narrative

NO LOT NUMBER WAS IDENTIFIED AND THEREFORE WITHIN THIS COMPLAINT, THE ASSOCIATED MANUFACTURING DOCUMENTATION COULD NOT BE REVIEWED. ALL PRODUCT AND BATCH HISTORY RECORDS ARE QUALITY REVIEWED PRIOR TO PRODUCT RELEASE, ENSURING THAT ALL PRODUCTS ON THE MARKET FULFILL THE RELEVANT REQUIREMENTS. NO SAMPLE IS AVAILABLE TO BE PROVIDED TO THE RESPONSIBLE SITE FOR AN IN-DEPTH INVESTIGATION. NOT ENOUGH INFORMATION WAS PROVIDED TO PROPERLY COMPLETE AN INVESTIGATION. THE ROOT CAUSE OF THIS COMPLAINT COULD NOT BE IDENTIFIED. THE EXACT ROOT CAUSE FOR THE CUSTOMER¿S REPORTED EVENT IS UNKNOWN. THEREFORE, NO SPECIFIC ACTION CAN BE TAKEN. THE MANUFACTURER INTERNAL REFERENCE NUMBER IS: (B)(4).

Remedial action

  • Other