FDA Adverse Event Injury Summary report: N

CT LUCIA 602

MDR report key: 16030562 · Received December 21, 2022

Report

Report Number
3010126268-2022-00053
Event Type
Injury
Date Received
December 21, 2022
Date of Event
October 20, 2022
Report Date
January 19, 2023
Manufacturer
CARL ZEISS MEDITEC PRODUCTION LLC
Product Code
HQL
UDI-DI
00843045100959
PMA / PMN Number
P100016-S008
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
US
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

AT THIS TIME IT IS UNKNOWN IF THE DEVICE IS BEING SENT BACK. THUS, A PROPER DEVICE ANALYSIS COULD NOT BE COMPLETED NOR THE REPORTED ISSUES CONFIRMED. BASED ON THE INFORMATION PROVIDED, THE RISK ASSESSMENT FOR THE LUCIA PRODUCT AND BASED ON OUR EXPERIENCE AND OTHER COMPLAINTS THAT HAVE ALREADY BEEN RESOLVED WE HAVE DETERMINED THAT THE FOLLOWING FACTOR MAY HAVE CAUSE OR CONTRIBUTED TO THE DAMAGED HAPTIC IS BUT IS NOT LIMITED TO: LOADING STRATEGY; LENS PLACEMENT TECHNIQUE; ACCESSORY DEVICE SUPPORT; POOR HANDLING DURING FOLDING AND INSERTING. OUR LENSES ARE 100% INSPECTED BEFORE THEY LEAVE OUR MANUFACTURING SITE. THEREFORE, WE ARE CONFIDENT THAT THE LENS WAS PROCESSED PER STANDARD OPERATING PROCEDURES AND INSPECTIONS AND MET ALL CRITERIA FOR RELEASE.

Additional Manufacturer Narrative · 0

ADDITIONAL DATA - B3: DATE OF EVENT 10/20/2022; B4: DATE OF THIS REPORT 1/19/2023; D4: MODEL #: CT LUCIA 602; CATALOG # 00350-0050-674; SERIAL # (B)(6); EXPIRATION DATE 04/30/2026; LOT # 3S210629; UNIQUE IDENTIFIER (UDI) # (B)(4); 6A: IMPLANTED DATE (B)(6) 2022; 6B: EXPLANTED DATE (B)(6) 2022. G3: DATE RECEIVED BY MANUFACTURER 12/22/2022; G6 TYPE OF REPORT: FOLLOW-UP #1; H2: IF FOLLOW-UP, WHAT TYPE: ADDITIONAL INFORMATION.

Description of Event or Problem · 0

IT WAS REPORTED THAT AFTER THE IMPLANTATION OF A CT LUCIA 602 EVERYTHING LOOKED GOOD, HOWEVER, THE IOL TILTED 90 DEGREES THE NEXT DAY. IT WAS BELIEVED THE ISSUE WAS DUE TO LARGE WTW. PATIENT WAS AROUND 12.7. NO ADDITIONAL INFORMATION PROVIDED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
2864522 CT LUCIA 602 CT LUCIA 602, PRODUCT CODE: HQL, PRODUCT CODE: HQL HQL CARL ZEISS MEDITEC PRODUCTION LLC CT LUCIA 602 3S210629 00843045100959

Patients

Seq Age Sex Outcome Treatment
1 Unknown Required Intervention