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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: ALCON LABORATORIES, INC. AOSEPT PLUS/CLEAR CARE PLUS WITH HYDRAGLYDE CLEANING AND DISINFECTING SOLUTION; ACCESSORIES, SOFT LENS PRODUCTS

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ALCON LABORATORIES, INC. AOSEPT PLUS/CLEAR CARE PLUS WITH HYDRAGLYDE CLEANING AND DISINFECTING SOLUTION; ACCESSORIES, SOFT LENS PRODUCTS Back to Search Results
Catalog Number 0065036339
Device Problems Inadequate Instructions for Non-Healthcare Professional (2956); Packaging Problem (3007)
Patient Problem No Code Available (3191)
Event Date 06/13/2016
Event Type  Injury  
Manufacturer Narrative
The actual complaint product was not returned for evaluation.A supplemental mdr will be filed as necessary in accordance with 21 cfr 803.56 when additional reportable information becomes available.Investigation including root cause analysis is in progress.(b)(4).
 
Event Description
As reported by a consumer via a medwatch form received on 07/13/2016, on (b)(6) 2016 the consumer misused the product thinking it was "similar to other eye care solutions experiencing "devastating pain as if acid had been put into eye" and suffered "chemical burn with corneal damage, which is now permanent" the consumer expressed dissatisfaction stating that the package design and warning labels were not enough to prevent the event.The consumer stated that the event did not resolve after stopping the use of the solution.Additional information has been requested, but has not been received yet.
 
Manufacturer Narrative
The lot number of the complaint product is known, but the actual complaint product was not returned for evaluation.A retain sample from a different lot was evaluated and was found to meet specifications.A trend related investigation was performed; no trend could be identified.The device history record and sterilization record for this lot have been reviewed and found to be in compliance.There was no nonconformity or deviations during the manufacturing process which related to the nature of the complaint.The root cause could not be determined.(b)(4).
 
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Brand Name
AOSEPT PLUS/CLEAR CARE PLUS WITH HYDRAGLYDE CLEANING AND DISINFECTING SOLUTION
Type of Device
ACCESSORIES, SOFT LENS PRODUCTS
Manufacturer (Section D)
ALCON LABORATORIES, INC.
6201 south freeway
fort worth TX 76134
Manufacturer (Section G)
ALCON LABORATORIES, INC.
6201 south freeway
fort worth TX 76134
Manufacturer Contact
rita lopez
6201 south freeway
mail stop ab2-6
fort worth, TX 76134
8175514846
MDR Report Key5850139
MDR Text Key51262256
Report Number1610287-2016-00082
Device Sequence Number1
Product Code LPN
Combination Product (y/n)N
Reporter Country CodeUS
PMA/PMN Number
K142284
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type consumer,other
Reporter Occupation Other
Type of Report Initial,Followup,Followup
Report Date 03/14/2017
1 Device was Involved in the Event
1 Patient was Involved in the Event
Date FDA Received08/05/2016
Is this an Adverse Event Report? Yes
Device Operator Lay User/Patient
Device Expiration Date12/31/2016
Device Catalogue Number0065036339
Device Lot Number247346F
Was Device Available for Evaluation? No
Is the Reporter a Health Professional? No
Date Manufacturer Received03/06/2017
Was Device Evaluated by Manufacturer? Device Not Returned to Manufacturer
Date Device Manufactured06/02/2015
Is the Device Single Use? No
Is This a Reprocessed and Reused Single-Use Device? No
Type of Device Usage N
Removal/Correction NumberN/A
Patient Sequence Number1
Patient Outcome(s) Other; Disability;
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