TECNIS
Report
- Report Number
- 2648035-2011-00172
- Event Type
- Injury
- Date Received
- August 12, 2011
- Report Date
- July 13, 2011
- Manufacturer
- ABBOTT MEDICAL OPTICS
- Product Code
- HQL
- PMA / PMN Number
- P99080
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- JA
- Reporter Occupation
- PHYSICIAN
Narratives
A REVIEW OF THE MANUFACTURING RECORDS WAS PERFORMED AND MET ALL SPECIFICATIONS. NO ADDITIONAL REPORTS OF A SIMILAR NATURE WERE RECEIVED FOR THE REMAINING LENSES IN THIS PRODUCTION ORDER. THE RESULTS OF OUR INVESTIGATION DO NOT SUGGEST THE LENS CAUSED OR CONTRIBUTED TO THIS ADVERSE EVENT. FURTHER INVESTIGATION CONFIRMS THE LENSES WERE MANUFACTURED IN SEVEN SEPARATE PRODUCTION ORDERS AND NOT FIVE AS INITIALLY REPORTED. 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.
THE MANUFACTURER'S INVESTIGATION IS ONGOING AND REMAINS INCONCLUSIVE AT THIS TIME. THE REPORTED INTRAOCULAR LENSES (IOLS) MET ALL MANUFACTURING SPECIFICATIONS PRIOR TO RELEASE. A REVIEW OF THE SERIAL NUMBERS, AS REPORTED TO THE MANUFACTURER, CONFIRMS THE SEVEN INTRAOCULAR LENSES ASSOCIATED WITH THESE EVENTS WERE MANUFACTURED IN FIVE DIFFERENT MONTHS, 3 DIFFERENT YEARS AND IN FIVE SEPARATE PRODUCTION ORDERS. OUR INVESTIGATION TO DATE SUGGESTS THE IOLS DID NOT MALFUNCTION NOR CAUSE OR CONTRIBUTE TO THE ADVERSE EVENTS REPORTED. ALL PERTINENT INFORMATION AVAILABLE TO AMO HAS BEEN SUBMITTED. SHOULD NEW INFORMATION THAT CHANGES THE FACTS AND/OR CONCLUSION OF THIS REPORT, A SUPPLEMENTAL REPORT WILL BE SUBMITTED. IOLS REMAIN IMPLANTED.
ONE SURGEON REPORTED SEVEN CASES OF (TASS) TOXIC ANTERIOR SEGMENT SYNDROME OCCURRING AT ONE SURGERY CENTER. THESE EVENTS OCCURRED IN TWO DIFFERENT WEEKS FOLLOWING CATARACT SURGERY WITH INTRAOCULAR LENS IMPLANT. FOUR CASES OCCURRED IN ONE WEEK AND THREE IN THE FOLLOWING WEEK. THE DATES FOR THESE EVENTS ARE UNKNOWN. AN UNIDENTIFIED NUMBER OF THE SEVEN PATIENTS WERE TREATED WITH TOPICAL STEROIDS AND ONE PATIENT REQUIRED A VITRECTOMY. ALL SEVEN INTRAOCULAR LENSES WERE IMPLANTED BY THE SAME SURGEON AND NONE WERE EXPLANTED. THE SURGERY CENTER IS INVESTIGATING ALL PROCESSES, STERILIZERS, CLEANING METHODS AND PRODUCTS USED DURING THESE SURGERIES.
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 | Required Intervention |