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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 GCB00
Medical Device Problem Code Delivered as Unsterile Product (1421)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Date of Event 04/28/2025
Type of Reportable Event Malfunction
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 d6a - implant date: not applicable, as the lens was not implanted.Section d6b - explant date: not applicable, as the lens was not implanted.Section e1 - telephone number: (b)(6).Section h3 - the device was not returned for evaluation; therefore, a failure analysis of the complaint device cannot be completed.A review of records including device history and complaint trending will be performed.Upon completion of the review, if there is any further relevant information a supplemental medwatch will be filed.All pertinent information available to johnson and johnson surgical vision, inc.Has been submitted.
 
Event or Problem Description
It was reported that the package of the intraocular lens (iol) was not sealed when the box was opened.Through follow-up, we learned that the customer does not think it was caused by shipping because the outer box was intact.No additional information was received.
 
Additional Manufacturer Narrative
Additional information: section d9 - device available for evaluation? yes section d9 - date returned to manufacturer: 27-may-2025 section h3 - device evaluated by manufacturer? yes device evaluation: visual inspection under magnification was performed on the suspect product.The device was received unused.Viscoelastic residue was not observed in the cartridge and the lens was observed to be inside the lens module.The sterilization pouch was observed to be opened and crumpled; however, no sealing issues were observed.Further evaluation of the complaint product revealed that the pouch was observed opened at the supplier sealed side (chevron).The manufacture sealing was sealed and complied with the requirements.No defects were observed.The complaint issue "sterility assurance concerns" was not identified during product evaluation.The other observed issues could not be confirmed to be related to the manufacturing or design process.Conclusion: as a result of the investigation, there is no indication of a product quality deficiency.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 Key22064330
Report Number3012236936-2025-000127
Device Sequence Number12672142
Product Code HQL
UDI-Device Identifier05050474620674
UDI-Public(01)05050474620674(17)271107
Combination Product (Y/N)N
Initial Reporter CountryIT
PMA/510(K) Number
P980040
Number of Events Summarized1
Summary Report (Y/N)N
Serviced by Third Party (Y/N)Unknown
Reporter Type Manufacturer
Report Source Foreign,Health Professional,User Facility,Company Representative
Initial Reporter Occupation Administrator/Supervisor
Type of Report Initial,Followup
Report Date (Section B) 07/25/2025
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 Model NumberGCB00
Device Catalogue NumberGCB0000235
Was Device Available for Evaluation? Device Returned to Manufacturer
Was the Report Sent to FDA? No
Type of Report(Section G)Thirty-Day
Initial Date Received by Manufacturer 04/28/2025
Supplement Date Received by Manufacturer07/23/2025
Initial Report FDA Received Date05/21/2025
Supplement Report FDA Received Date07/25/2025
Was Device Evaluated by Manufacturer? (Y/N) Yes
Date Device Manufactured11/07/2024
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 SexUnknown
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