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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: BAUSCH & LOMB INCORPORATED SOFLENS DAILY DISPOSABLE CONTACT LENS; LENS, CONTACT, DISPOSABLE

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BAUSCH & LOMB INCORPORATED SOFLENS DAILY DISPOSABLE CONTACT LENS; LENS, CONTACT, DISPOSABLE Back to Search Results
Model Number SDD-040030PKR
Device Problem Insufficient Information (3190)
Patient Problems Inflammation (1932); Iritis (1940)
Event Type  Injury  
Manufacturer Narrative
The complaint sample involved with this report was requested, but not yet received.The consumer did send sealed product with the same lot number.That product was returned and evaluated.All parameters were within specification.A review of the device history log is currently in progress.Based on all available information, no causal factors can be determined and no conclusion can be drawn.
 
Event Description
A consumer reported that their left eye suffered from inflammation after wearing a soflens daily disposable lens.After an appointment with a doctor, the consumer stated that a diagnosis of iritis with an unknown source was given.This diagnosis was provided to the consumer around november and the doctor did not recommend any medical intervention or treatment.The consumer stated that the eye has recovered.Additional medical information was requested, however the consumer has refused to provide additional details as well as the doctor's contact information.
 
Manufacturer Narrative
A review of the manufacturing records was completed and concludes that the product was manufactured, packaged and released according to global and plant product specifications.Based on all available information, no causal factors can be determined and no conclusion can be drawn.
 
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Brand Name
SOFLENS DAILY DISPOSABLE CONTACT LENS
Type of Device
LENS, CONTACT, DISPOSABLE
Manufacturer (Section D)
BAUSCH & LOMB INCORPORATED
1400 north goodman street
rochester NY 14609
MDR Report Key10535826
MDR Text Key207126958
Report Number0001313525-2020-00122
Device Sequence Number1
Product Code MVN
Combination Product (y/n)Y
PMA/PMN Number
K061157
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type consumer,foreign
Type of Report Initial,Followup
Report Date 01/01/2005,08/17/2020
1 Device was Involved in the Event
1 Patient was Involved in the Event
Date FDA Received09/15/2020
Is this an Adverse Event Report? Yes
Is this a Product Problem Report? No
Device Operator Lay User/Patient
Device Expiration Date02/28/2024
Device Model NumberSDD-040030PKR
Device Lot NumberW92011746
Was the Report Sent to FDA? Yes
Date Report Sent to FDA01/01/2005
Date Report to Manufacturer01/10/2005
Date Manufacturer Received08/17/2020
Is This a Reprocessed and Reused Single-Use Device? No
Patient Sequence Number1
Patient Outcome(s) Other;
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