FDA Adverse Event Injury Summary report: N

TECNIS IOL

MDR report key: 21048616 · Received December 31, 2024

Report

Report Number
3012236936-2024-000348
Event Type
Injury
Date Received
December 31, 2024
Date of Event
November 26, 2024
Report Date
December 31, 2024
Manufacturer
AMO MANUFACTURING NETHERLANDS
Product Code
MFK
UDI-DI
05050474536234
PMA / PMN Number
P980040
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
BR
Reporter Occupation
PHYSICIAN
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

SECTION A2, A4 AND A5: PER REGULATION EU (B)(4) (GENERAL DATA PROTECTION REGULATION), PATIENT IDENTIFIERS WERE NOT COLLECTED OR RECORDED AND THEREFORE ARE NOT AVAILABLE. SECTION E1 - TELEPHONE NUMBER: (B)(6). SECTION H3 -THE INTRAOCULAR LENS (IOL) WAS NOT RETURNED FOR EVALUATION. THEREFORE, A FAILURE ANALYSIS OF THE COMPLAINT DEVICE COULD NOT 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 AND POSSIBLE PRODUCT RETURN AND EVALUATION, IF THERE IS ANY FURTHER RELEVANT INFORMATION A SUPPLEMENTAL MEDWATCH WILL BE FILED. ALL PERTINENT INFORMATION AVAILABLE TO JOHNSON AND JOHNSON SURGICAL VISION, INC. HAS BEEN SUBMITTED.

Description of Event or Problem · 0

IT WAS REPORTED THAT THE PATIENT WAS LEFT WITH A RESIDUAL VISION OF +1.00 AND EXPRESSED CONCERNS ABOUT THE PRE AND POST-OPERATIVE BIOMETRICS, PARTICULARLY DUE TO THE PATIENT'S ENLARGED ANTERIOR CHAMBER. THROUGH FOLLOW-UP WE LEARNED THAT EXPLANT WAS DONE ON 10TH DECEMBER. BEFORE THE EXPLANT THE PATIENT WAS CALM, CARRYING OUT ALL HIS ACTIVITIES NORMALLY, HE WAS JUST UPSET WITH THE RESIDUAL DEGREE. NO FURTHER INFORMATION WAS PROVIDED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1847436 TECNIS IOL LENS, MULTIFOCAL INTRAOCULAR MFK AMO MANUFACTURING NETHERLANDS ZMB00 05050474536234

Patients

Seq Age Sex Outcome Treatment
1 NA Prefer Not To Disclose Other