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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: COOPERVISION CL KFT CLARITI 1 DAY TORIC (SOMOFILCON A)

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COOPERVISION CL KFT CLARITI 1 DAY TORIC (SOMOFILCON A) Back to Search Results
Lot Number T0127676
Device Problem Insufficient Information (3190)
Patient Problem Eye Infections (4466)
Event Type  Injury  
Event Description
This incident was received from the health care professional as reported by the user and limited information is known.The patient stated that they believed they removed their contact lenses, but after a few days, developed irritation the left eye.Upon visiting a&e (accident and emergency) ophthalmology department, they found a lens in his eye and diagnose him with an eye infection.The infection has since been treated successfully, leaving no permanent harm.Patient alleges he had received a case with two lenses where he unknowingly inserted two lenses into his eye and only removed one, resulting in the remaining lens causing the irritation and infection.His eye care practitioner, optom dir at specsavers, does not believe this to be the case as the patient did not indicate any poor vision or other discomfort while wearing that would indicate having instilled two lenses.As of the date of this report additional information is unknown.This event is being reported with an abundance of caution due to the unknown nature or severity of the incident.Should further information become available, a follow-up report will be submitted as appropriate.
 
Manufacturer Narrative
No product has been made available for manufacturer analysis.Lot number was provided for the device alleged to be involved in the incident.No issues or nonconformance's were found and no trends were identified.No root cause could be established.The relationship between the coopervision device and the incident is unconfirmed.
 
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Brand Name
CLARITI 1 DAY TORIC (SOMOFILCON A)
Type of Device
CLARITI 1 DAY TORIC (SOMOFILCON A)
Manufacturer (Section D)
COOPERVISION CL KFT
gorcsev ivan street 7
building c
gyal, budapest 2360
HU  2360
Manufacturer (Section G)
COOPERVISION CL KFT
gorcsev ivan street 7
building c
gyal, budapest 2360
HU   2360
Manufacturer Contact
jose rodriguez
209 high point dr
victor, NY 14564
5857569847
MDR Report Key16976707
MDR Text Key315779596
Report Number3009108089-2023-00003
Device Sequence Number1
Product Code MVN
Combination Product (y/n)N
Reporter Country CodeEI
PMA/PMN Number
K130331
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type Health Professional
Reporter Occupation Other Health Care Professional
Type of Report Initial
Report Date 05/22/2023
1 Device was Involved in the Event
1 Patient was Involved in the Event
Date FDA Received05/22/2023
Is this an Adverse Event Report? Yes
Is this a Product Problem Report? No
Device Operator Lay User/Patient
Device Lot NumberT0127676
Was Device Available for Evaluation? No
Is the Reporter a Health Professional? Yes
Date Manufacturer Received05/08/2023
Was Device Evaluated by Manufacturer? Device Not Returned to Manufacturer
Is the Device Single Use? No
Is This a Reprocessed and Reused Single-Use Device? No
Type of Device Usage Unknown
Patient Sequence Number1
Patient Outcome(s) Other;
Patient SexMale
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