FDA Adverse Event Injury Summary report: N

TECNIS

MDR report key: 2210509 · Received August 12, 2011

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

Additional Manufacturer Narrative · 1

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.

Additional Manufacturer Narrative · 1

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.

Description of Event or Problem · 1

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