FDA Adverse Event Injury Summary report: N

TECNIS IOL

MDR report key: 23075009 · Received September 17, 2025

Report

Report Number
3012236936-2025-000247
Event Type
Injury
Date Received
September 17, 2025
Date of Event
August 14, 2025
Report Date
September 17, 2025
Manufacturer
AMO PUERTO RICO MFG. INC.
Product Code
MFK
UDI-DI
05050474652637
PMA / PMN Number
P980040
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
KS
Reporter Occupation
PHYSICIAN
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

SECTION A2, A3B, A4, A5 AND A6: UNKNOWN, INFORMATION NOT PROVIDED. SECTION E1: INITIAL REPORTER: EMAIL ADDRESS: UNKNOWN, INFORMATION NOT PROVIDED. SECTION E1: INITIAL REPORTER: TELEPHONE NUMBER:(B)(6). SECTION H3: THE DEVICE WAS NOT RETURNED FOR EVALUATION; THEREFORE, A FAILURE ANALYSIS OF THE COMPLAINT DEVICE CANNOT BE COMPLETED. A REVIEW OF THE DEVICE HISTORY RECORD AND COMPLAINT HISTORY FOR PRODUCTION ORDER FOR THIS DEVICE WILL BE PERFORMED. UPON COMPLETION OF THE REVIEW, IF THERE IS ANY FURTHER RELEVANT INFORMATION A SUPPLEMENTAL MEDWATCH WILL BE FILED. ALL PERTINENT INFORMATION AVAILABLE TO JOHNSON & JOHNSON SURGICAL VISION, INC. HAS BEEN SUBMITTED.

Description of Event or Problem · 0

IT WAS REPORTED THAT THE PATIENT EXPERIENCED BLURRED VISION AFTER THE IMPLANTATION OF THE NON-PRELOADED MULTIFOCAL LENS. HOWEVER, BASED ON THE SURGEON'S JUDGMENT, AN EXCHANGE WAS PERFORMED DURING SECONDARY SURGERY USING THE SAME LENS MODEL AND THE SAME DIOPTER. FOLLOWING THE EXCHANGE, THE PATIENT REPORTED CLEAR VISION AND EXPRESSED SATISFACTION WITH THE OUTCOME. NO OTHER INFORMATION WAS PROVIDED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
2598381 TECNIS IOL LENS, MULTIFOCAL INTRAOCULAR MFK AMO PUERTO RICO MFG. INC. ZFR00V 05050474652637

Patients

Seq Age Sex Outcome Treatment
1 NA Female Required Intervention