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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: AMO PUERTO RICO MFG. INC. SMARTLOAD; INTRAOCULAR LENS

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AMO PUERTO RICO MFG. INC. SMARTLOAD; INTRAOCULAR LENS Back to Search Results
Model Number GAB00
Medical Device Problem Code Material Opacification (1426)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Date of Event 02/19/2025
Type of Reportable Event Malfunction
Event or Problem Description
It was reported that when positioning the preloaded intraocular lens (iol), air bubbles were noticed in the optic of the lens.The iol was implanted and remains in the patient's eye.According to the customer, the lens was left in the eye with no plan to be removed.The patient does not have any symptoms.No further details were provided.
 
Additional Manufacturer Narrative
Section a2, a3, a4 and a5: per regulation eu 2016/679 (general data protection regulation), patient identifiers were not collected or recorded and therefore are not available.Section d6b - explant date: not applicable, as lens remains implanted.Section e1 - telephone number:(b)(6).Section h3 : the intraocular lens (iol) was not returned for evaluation as it remains implanted.Therefore, a failure analysis of the complaint device could not be completed.A review of the device history record, complaint trending, and risk documentation for this device will be performed.Upon completion of the review, if there is any further relevant information a supplemental medwatch will be filed.Attempts have been made to obtain missing information.However, to date, no response has been received.All pertinent information available to johnson and johnson surgical vision, inc.Has been submitted.
 
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Brand Name
SMARTLOAD
Common Device Name
INTRAOCULAR LENS
Manufacturer (Section D)
AMO PUERTO RICO MFG. INC.
road 402 north, anasco ind. pk
anasco PR 00610
Manufacturer Contact
somyata nagpal
31 technology drive
irvine, CA 92618
7142478552
MDR Report Key21607793
Report Number3012236936-2025-000059
Device Sequence Number8868266
Product Code HQL
UDI-Device Identifier05050474621749
UDI-Public(01)05050474621749(17)260803
Combination Product (Y/N)N
Initial Reporter CountryGM
PMA/510(K) Number
P980040
Number of Events Summarized1
Summary Report (Y/N)N
Device Implanted Year2025
Serviced by Third Party (Y/N)N
Reporter Type Manufacturer
Report Source Foreign,Health Professional,User Facility,Company Representative
Initial Reporter Occupation Non-Healthcare Professional
Type of Report Initial
Report Date (Section B) 03/14/2025
1 Device was Involved in the Event
1 Patient was Involved in the Event
Is this an Adverse Event Report? No
Is this a Product Problem Report? Yes
Operator of Device Health Professional
Device Expiration Date08/03/2026
Device Model NumberGAB00
Device Catalogue NumberGAB0000180
Was Device Available for Evaluation? No
Was the Report Sent to FDA? No
Type of Report(Section G)Thirty-Day
Initial Date Received by Manufacturer 02/20/2025
Initial Report FDA Received Date03/14/2025
Was Device Evaluated by Manufacturer? (Y/N) No
Date Device Manufactured08/03/2023
Is the Device Labeled for Single Use? (Y/N) Yes
Is This a Single-Use Device that was
Reprocessed and Reused on a Patient? (Y/N)
No
Usage of Device Initial
Patient Sequence Number1
Patient Age68 YR
Patient SexUnknown
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