FDA Adverse Event Injury Summary report: N

TECNIS

MDR report key: 2192710 · Received August 5, 2011

Report

Report Number
2648035-2011-00154
Event Type
Injury
Date Received
August 5, 2011
Date of Event
July 7, 2011
Report Date
July 8, 2011
Manufacturer
ABBOTT MEDICAL OPTICS
Product Code
HQL
PMA / PMN Number
P990080
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
WA, US
Reporter Occupation
PHYSICIAN

Narratives

Additional Manufacturer Narrative · 1

THE RETURNED IOL WAS MEASURED FOR DIOPTER AND WAS CORRECT AS LABELED,16.0. THE IOL MET ALL SPECIFICATIONS FOR OPTICAL PROPERTIES. OUR INVESTIGATION IDENTIFIED NO PRODUCT DEFICIENCY, SUGGESTING THAT THIS EVENT WAS NOT CAUSED BY THE IOL. ALL PERTINENT INFORMATION AVAILABLE TO AMO HAS BEEN SUBMITTED. SHOULD NEW INFORMATION BE RECEIVED THAT CHANGES THE FACTS AND/OR CONCLUSION OF THIS REPORT, A SUPPLEMENTAL REPORT WILL BE SUBMITTED.

Additional Manufacturer Narrative · 1

THE INTRAOCULAR LENS (IOL) WAS RECEIVED AND IS CURRENTLY UNDER EVALUATION AT THE MANUFACTURING SITE. THE IOL MET ALL MANUFACTURING SPECIFICATIONS PRIOR TO RELEASE. A REVIEW OF THE IMPLANT DATABASE SHOWS THE INITIAL IMPLANT OF 16.0 DIOPTER WAS REPLACED WITH A 19.5 DIOPTER LENS OF THE SAME MODEL SUGGESTING THIS EVENT WAS NOT CAUSED BY THE IOL. ALL INFORMATION AVAILABLE AT THIS TIME IS INCLUDED IN THIS REPORT. A SUPPLEMENTAL MDR WILL BE FILED AS NECESSARY WHEN ADDITIONAL REPORTABLE INFORMATION BECOMES AVAILABLE.

Description of Event or Problem · 1

IT WAS REPORTED THE INTRAOCULAR LENS WAS EXPLANTED WITHOUT COMPLICATION 1 YEAR FOLLOWING IMPLANT. THE REASON STATED WAS NOT ENOUGH POWER.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 TECNIS MONOFOCAL INTRAOCULAR LENS HQL ABBOTT MEDICAL OPTICS ZA9003

Patients

Seq Age Sex Outcome Treatment
1 89 YR Required Intervention