FDA Adverse Event
Malfunction
Summary report: N
TECNIS IOL
MDR report key: 20245528
·
Received September 18, 2024
Report
- Report Number
- 20245528
- Event Type
- Malfunction
- Date Received
- September 18, 2024
- Date of Event
- May 3, 2024
- Report Date
- June 6, 2024
- Manufacturer
- JOHNSON JOHNSON SURGICAL VISION, INC.
- Product Code
- MJP
- Product Problem
- Yes
- Report Source
- User Facility report
- Reporter Location
- WA
- Reporter Occupation
- 003
Narratives
Description of Event or Problem · 0
LENS WAS JAMMED COULD NOT GET OUT. REPORTED & RETURNED TO SUPPLIER. RGA# [REDACTED], TRK# [REDACTED]. MANUFACTURER RESPONSE FOR IOL, (BRAND NOT PROVIDED) (PER SITE REPORTER). ISSUED RGA# 2[REDACTED].
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1360196 | TECNIS IOL | LENS, INTRAOCULAR, TORIC OPTICS | MJP | JOHNSON JOHNSON SURGICAL VISION, INC. | DIU375 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 77 YR | Male |