FDA Adverse Event Injury Summary report: N

TECNIS

MDR report key: 2240434 · Received September 9, 2011

Report

Report Number
2648035-2011-00201
Event Type
Injury
Date Received
September 9, 2011
Date of Event
August 8, 2011
Report Date
August 10, 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 LENS WAS RECEIVED AND IS CURRENTLY UNDER EVALUATION AT THE MANUFACTURING SITE. THE LENS MET ALL MANUFACTURING SPECIFICATIONS PRIOR TO RELEASE. A REVIEW OF THE MANUFACTURER'S IMPLANT DATABASE SHOWS THE ORIGINAL IMPLANT WAS REPLACED WITH A LOWER DIOPTER LENS OF THE SAME MODEL. OUR INVESTIGATION SUGGESTS THIS EVENT IS NOT RELATED TO 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 RETURNED IOL WAS MEASURED FOR DIOPTER AND CONFIRMED THAT IS CORRECT AS LABELED, 21.5 D. 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.

Description of Event or Problem · 1

A REPORT WAS RECEIVED THAT THE INTRAOCULAR LENS (IOL) WAS EXPLANTED 4 MONTHS AFTER IMPLANT. REASON STATED WAS IMPROPER IOL POWER. NO PATIENT COMPLICATIONS.

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 53 YR Required Intervention