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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: AMO MANUFACTURING USA, LLC ELITA; OPHTHALMIC FEMTOSECOND LASER

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AMO MANUFACTURING USA, LLC ELITA; OPHTHALMIC FEMTOSECOND LASER Back to Search Results
Model Number 0155-1001
Medical Device Problem Code Decrease in Suction (1146)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Date of Event 01/31/2026
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 section d6b: if explanted, give date: not applicable section h3: the device was not returned for evaluation.Therefore, a failure analysis of the complaint device cannot 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.All pertinent information available to johnson & johnson surgical vision, inc.Has been submitted.
 
Event or Problem Description
It was reported by the customer using the elita system that a potential undetected suction loss occurred during an elita flap procedure.As a result, the flap was cut into two layers, but no error code was displayed.The patient fully recovered following the event, and no delay in the procedure or additional medical attention beyond standard care was required.No further information is required.
 
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Brand Name
ELITA
Common Device Name
OPHTHALMIC FEMTOSECOND LASER
Manufacturer (Section D)
AMO MANUFACTURING USA, LLC
510 cottonwood drive
milpitas CA 95035
Manufacturer Contact
somyata nagpal
31 technology drive
irvine, CA 92618
7142478552
MDR Report Key24546668
Report Number3012236936-2026-000059
Device Sequence Number20227123
Product Code OOE
UDI-Device Identifier05050474738553
UDI-Public(01)05050474738553
Combination Product (Y/N)N
Initial Reporter CountryTW
PMA/510(K) Number
K063682
Number of Events Summarized1
Summary Report (Y/N)N
Serviced by Third Party (Y/N)N
Reporter Type Manufacturer
Report Source Foreign,Health Professional,Company Representative
Initial Reporter Occupation Physician
Type of Report Initial
Report Date (Section B) 03/09/2026
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 Number0155-1001
Device Catalogue Number0155-1001
Is the Reporter a Health Professional? Yes
Was the Report Sent to FDA? No
Type of Report(Section G)Thirty-Day
Initial Date Received by Manufacturer 02/13/2026
Initial Report FDA Received Date03/09/2026
Was Device Evaluated by Manufacturer? (Y/N) No
Date Device Manufactured12/18/2023
Is the Device Labeled for Single Use? (Y/N) No
Is This a Single-Use Device that was
Reprocessed and Reused on a Patient? (Y/N)
No
Usage of Device Reuse
Patient Sequence Number1
Patient SexUnknown
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