FDA Adverse Event Injury Summary report: N

REZOOM

MDR report key: 1871943 · Received October 16, 2010

Report

Report Number
2648035-2010-00195
Event Type
Injury
Date Received
October 16, 2010
Date of Event
September 15, 2010
Report Date
November 21, 2006
Manufacturer
ABBOTT MEDICAL OPTICS
Product Code
MFK
PMA / PMN Number
P960028/SO11
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
ID, US
Reporter Occupation
PHYSICIAN

Narratives

Additional Manufacturer Narrative · 1

THE INTRAOCULAR LENS (IOL) ASSOCIATED WITH THIS REPORT WAS RECEIVED AND TRANSFERRED TO THE MANUFACTURING FACILITY FOR ANALYSIS, RESULTS ARE PENDING. A FOLLOW-UP TO THIS MDR WILL BE SUBMITTED WHEN THE ANALYSIS IS COMPLETED.

Additional Manufacturer Narrative · 1

THE RETURNED INTRAOCULAR LENS (IOL) WAS INSPECTED AND MET ALL MANUFACTURING SPECIFICATIONS. THE IOL POWER WAS MEASURED AND IS CORRECT AS LABELED, 19.0 DIOPTERS. THE LENS WAS INSPECTED UNDER ILLUMINATED 10X MAGNIFICATION AND THE OPTIC SHOWED NO DEFECTS. THE RESULTS OF THE VISUAL AND OPTICAL INSPECTIONS PERFORMED WERE FOUND WITHIN ALL PRODUCT SPECIFICATIONS. BATCH RECORDS WERE REVIEWED AND NO DEVIATIONS WERE NOTED. OUR INVESTIGATION IDENTIFIED NO PRODUCT DEFICIENCY, SUGGESTING THAT THIS EVENT WAS NOT CAUSED BY THE IOL. ALL INFORMATION PROVIDED IS INCLUDED IN THIS REPORT.

Description of Event or Problem · 1

A HYDROTHERMABLATION PROCERVA PROCEDURE SET WAS USED DURING A HYDROTHERMABLATION (HTA) PROCEDURE. ACCORDING TO THE COMPLAINANT, DURING THE PROCEDURE, THE PATIENT SUDDENLY MOVED AND THEN COUGHED. AS A RESULT, FLUID WAS OBSERVED AT THE UTERUS AND THE SMALL PARTS OF THE BUTTOCK'S WERE BLISTERED. CLINICAL FOLLOW UP INFORMATION REVEALED THAT A TENACULUM WAS USED TO MAINTAIN A CERVICAL SEAL AND A TENACULUM STABILIZER WAS ALSO USED, THE BURN WAS CATEGORIZED AS "2ND DEGREE", A FLUID LOSS ALARM WAS GENERATED AT 10 CC'S, BURNS WERE BOTH INTERNAL AND EXTERNAL AND BURNS WERE TREATED WITH LIDOCAINE AND SILVADENE CREAM. THERE WERE NO FURTHER PATIENT COMPLICATIONS AND THE PATIENT'S CONDITION AT THE CONCLUSION OF THE PROCEDURE WAS REPORTED TO BE "OK". AN ADDITIONAL ATTEMPT HAS BEEN MADE TO OBTAIN FOLLOW UP EVENT DETAILS WITH NO RESPONSE FROM THE CLINICIAN.

Description of Event or Problem · 1

IT WAS REPORTED THE MULTIFOCAL INTRAOCULAR LENS WAS REMOVED AND REPLACED WITHOUT COMPLICATION 4 YEARS AFTER THE INITIAL IMPLANT. REASON STATED WAS EXPLANTED DUE TO IMPROPER IOL POWER.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 REZOOM MULTIFOCAL INTRAOCULAR LENS MFK ABBOTT MEDICAL OPTICS NXG1

Patients

Seq Age Sex Outcome Treatment
1 69 YR Required Intervention