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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: AMO MANUFACTURING USA, LLC LIQUID OPTICS INTERFACE; OPHTHALMIC FEMTOSECOND LASER

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AMO MANUFACTURING USA, LLC LIQUID OPTICS INTERFACE; OPHTHALMIC FEMTOSECOND LASER Back to Search Results
Model Number 0180-1201
Medical Device Problem Code Decrease in Suction (1146)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Date of Event 09/08/2025
Type of Reportable Event Malfunction
Additional Manufacturer Narrative
Section a2 a3, a4 and a5: unknown/ not provided.Section d6a: if implanted, give date: not applicable, as the device is not implantable.Section d6b: if explanted, give date: not applicable, as the device is not implantable.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 record 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 & johnson surgical vision, inc has been submitted.
 
Event or Problem Description
The customer reported that there was no suction on the liquid optics interface (loi) which occurred during docking/procedure activation and during laser treatment.The procedure was completed successfully.No additional information was provided.
 
Additional Manufacturer Narrative
Correction: in the initial report the expiration date and manufacturing date were transposed the correct dates are as follows: section d4: expiration date: apr 12, 2027.Section h4: device manufacture date: apr 13, 2025.Additional information: manufacturing records review: the manufacturing records for the device were reviewed.The product was manufactured and released according to specification.Conclusion: as a result of the investigation there is no indication of a product quality deficiency and the reported issue could not be verified.All pertinent information available to johnson & johnson surgical vision, inc.Has been submitted.
 
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Brand Name
LIQUID OPTICS INTERFACE
Common Device Name
OPHTHALMIC FEMTOSECOND LASER
Manufacturer (Section D)
AMO MANUFACTURING USA, LLC
510 cottonwood drive
milpitas CA 95035
Manufacturer Contact
somyata nagpal
510 cottonwood drive
milpitas, CA 95035
7142478552
MDR Report Key23336988
Report Number3012236936-2025-000273
Device Sequence Number7771100
Product Code OOE
UDI-Device Identifier05050474609778
UDI-Public(01)05050474609778(17)250413(10)60638636
Combination Product (Y/N)N
Initial Reporter CountryUS
PMA/510(K) Number
K170322
Number of Events Summarized1
Summary Report (Y/N)N
Serviced by Third Party (Y/N)Unknown
Reporter Type Manufacturer
Report Source User Facility
Initial Reporter Occupation Non-Healthcare Professional
Type of Report Initial,Followup
Report Date (Section B) 11/06/2025
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 Number0180-1201
Device Catalogue Number0180-1201
Device Lot Number60638636
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 09/25/2025
Supplement Date Received by Manufacturer10/30/2025
Initial Report FDA Received Date10/20/2025
Supplement Report FDA Received Date11/06/2025
Was Device Evaluated by Manufacturer? (Y/N) No
Date Device Manufactured04/13/2025
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
Concomitant Medical Products
and Therapy/Usage Dates
CATALYS S/N: (B)(6)
Patient SexUnknown
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