FDA Adverse Event Injury Summary report: N

TECNIS CL

MDR report key: 1760351 · Received July 18, 2010

Report

Report Number
2648035-2010-00136
Event Type
Injury
Date Received
July 18, 2010
Date of Event
June 29, 2010
Report Date
July 1, 2010
Manufacturer
ABBOTT MEDICAL OPTICS
Product Code
HQL
PMA / PMN Number
P880081/S032
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
MS, US
Reporter Occupation
PHYSICIAN

Narratives

Additional Manufacturer Narrative · 1

THE IOL WAS NOT RECEIVED FOR ANALYSIS. THE CAUSE OF THIS EVENT REASONABLY SUGGESTS IT IS NOT MANUFACTURING RELATED BUT INSTEAD USER RELATED. THE IOL MET ALL MANUFACTURING SPECIFICATIONS PRIOR TO RELEASE. AN UPDATE TO THIS REPORT WILL BE SUBMITTED IF LENS IS RECEIVED FOR ANALYSIS. DEVICE NOT RECEIVED.

Additional Manufacturer Narrative · 1

THE INTRAOCULAR LENS (IOL) WAS RECEIVED AND MEASURED CORRECT FOR DIOPTER AS LABELED, 12.0 D. THE IOL MET ALL SPECIFICATIONS FOR OPTICAL PROPERTIES. OUR INVESTIGATION IDENTIFIED NO PRODUCT DEFICIENCY, SUGGESTING THAT THIS EVENT WAS NOT CAUSED BY THE IOL.

Description of Event or Problem · 1

IT WAS REPORTED THE INTRAOCULAR LENS WAS EXPLANTED 18 DAYS AFTER THE INITIAL IMPLANT WITHOUT COMPLICATION. REASON STATED WAS THAT THE PATIENT'S VISION WAS NOT GOOD, AND THE IOL WAS CHANGED TO A HIGHER POWER.

Description of Event or Problem · 1

THE PATIENT REPORTED THAT THE INFUSION DEVICE DELIVERED 20 UNITS OF INSULIN INSTEAD OF THE INTENDED 2 UNITS OF INSULIN. THE PATIENT BECAME UNCONSCIOUS. THE PATIENT WAS IN THE HOSPITAL AT THE TIME OF THE INCIDENT FOR OTHER REASONS, AND HE RECEIVED IMMEDIATE ASSISTANCE (TYPE OF TREATMENT NOT PROVIDED). HIS BLOOD GLUCOSE MEASURED 1.6 MMOL/L (29 MG/DL). HE STATED, HE IS UNSURE IF HE INCORRECTLY PROGRAMMED THE INSULIN AMOUNT OR IF THE INFUSION DEVICE DELIVERED THE AMOUNT INCORRECTLY. NO FURTHER INFORMATION IS AVAILABLE. THE INFUSION DEVICE WAS REQUESTED TO BE RETURNED FOR EVALUATION.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 TECNIS CL MONOFOCAL LENS HQL ABBOTT MEDICAL OPTICS Z9002

Patients

Seq Age Sex Outcome Treatment
1 56 YR Required Intervention