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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: AMO PUERTO RICO MFG. INC. UNFOLDER PLATINUM 1 SERIES; LENS, GUIDE, INTRAOCULAR

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AMO PUERTO RICO MFG. INC. UNFOLDER PLATINUM 1 SERIES; LENS, GUIDE, INTRAOCULAR Back to Search Results
Model Number 1MTEC30
Device Problems Delivered as Unsterile Product (1421); Manufacturing, Packaging or Shipping Problem (2975)
Patient Problem No Patient Involvement (2645)
Event Date 12/11/2020
Event Type  malfunction  
Manufacturer Narrative
If implanted; give date: the cartridge is not an implantable device.If explanted; give date: the cartridge is not an implantable device; therefore, not explanted.Phone: (b)(6).All pertinent information available to johnson and johnson surgical vision, inc.Has been submitted.
 
Event Description
It was reported that 3 boxes of 1mtec30 cartridges out of 4 had an issue with the tyvek tray, film being curled and desterilized.The issue was noted upon opening of the packaging.Out of 3 boxes it is unknown how many devices have the reported issue.There was no patient involvement.No additional information was provided.
 
Manufacturer Narrative
Corrected data in review of section e in follow-up 1, the country was inadvertently selected as united states, however, the country should have been france.Additional information received.The report was reviewed the customer received a product from rhenus logistics.Rhenus logistics is temperature controlled facility, where johnson & johnson surgical vision (jjsv) products are kept under strict temperature range and could have not been subjected to high temperatures.Rhenus team was contacted to investigate this issue, a picture was requested of the box of product, however there is no further stock of this product at the facility.The transport of the devices from rhenus to the customers was not temperature controlled.However, the transport of those products occurred in winter season and short distances.It is unlikely that those products were subject to high temperatures from rhenus to the customers in the conditions described.A checked of our complaint database to verify if the emea3pls have reported any issues that match the description of the issues registered in this complaint.One nonconformance that matches the description was identified (# nr-0147385).As per investigation, the products were shipped to rhenus in summer months and this could potentially be the root cause of this issue.In conclusion, do not have evidence that this issue was originated in rhenus as the warehouse is temperature controlled and the transport of those products was a short distance in winter season.All pertinent information available to johnson and johnson surgical vision, inc.Has been submitted.
 
Manufacturer Narrative
Device evaluation: no product evaluation was performed since no product received.Based on the photo provided as part of the complaint cp-0003073, the units do not meet the visual inspection requirements included in qi5003 ¿packaging and boxing inspection for cartridges¿ rev.26.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 one additional complaint for this order number have been received.Conclusion: based on the manufacturing controls in-place, manufacturing process record, review, sealing process parameters and the sterilization cycle documentation review performed, the reported complaint cannot be confirmed as cartridge manufacturing process related.Possible assignable cause is mother nature and could be related to shipping or transit.All pertinent information available to johnson and johnson surgical vision, inc.Has been submitted.
 
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Brand Name
UNFOLDER PLATINUM 1 SERIES
Type of Device
LENS, GUIDE, INTRAOCULAR
Manufacturer (Section D)
AMO PUERTO RICO MFG. INC.
road 402 north, anasco ind. pk
anasco PR
MDR Report Key11144216
MDR Text Key228171857
Report Number2648035-2021-07053
Device Sequence Number1
Product Code KYB
UDI-Device Identifier05050474540323
UDI-Public(01)05050474540323(17)210421(10)CH06526
Combination Product (y/n)N
PMA/PMN Number
K081545
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type company representative,foreig
Type of Report Initial,Followup,Followup
Report Date 03/24/2021
1 Device was Involved in the Event
1 Patient was Involved in the Event
Date FDA Received01/10/2021
Is this an Adverse Event Report? No
Is this a Product Problem Report? Yes
Device Operator Health Professional
Device Expiration Date04/21/2021
Device Model Number1MTEC30
Device Catalogue Number1MTEC30
Device Lot NumberCH06526
Was Device Available for Evaluation? No
Was the Report Sent to FDA? No
Date Manufacturer Received02/24/2021
Is This a Reprocessed and Reused Single-Use Device? No
Patient Sequence Number1
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