FDA Adverse Event Injury Summary report: N

TECNIS

MDR report key: 3050518 · Received April 10, 2013

Report

Report Number
2648035-2013-00159
Event Type
Injury
Date Received
April 10, 2013
Date of Event
March 11, 2013
Report Date
March 20, 2013
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

(B)(4). PLACEHOLDER.

Additional Manufacturer Narrative · 1

THE INTRAOCULAR LENS WAS RETURNED TO THE MANUFACTURER. THE LENS WAS INSPECTED UNDER MICROSCOPE AT 10X AND IT WAS FOUND TO HAVE STAINS AND PARTICLES ADHERED TO BOTH SIDES OF OPTIC BODY COMPATIBLE WITH HANDLING LENS IN AN UNSTERILE ENVIRONMENT. DIOPTER MEASUREMENT: DIOPTER MEASUREMENT RESULTS SHOWED THAT THE LENS FOR SERIAL NUMBER (B)(4) BELONGS TO DIOPTER 22.0.

Description of Event or Problem · 1

WE RECEIVED A REPORT CONCERNING A FEMALE PATIENT WHO EXPERIENCED UNEXPECTED POST-OPERATIVE REFRACTION REQUIRING AN EXPLANT OF A INTRAOCULAR LENS. THE REPORTER INDICATED THAT THE PATIENT HAD LASIK SURGERY PRIOR TO THE CATARACT SURGERY AND REQUIRED A DIFFERENT DIOPTER VALUE LENS FOR A MORE DESIRABLE VISUAL OUTCOME.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
148554 TECNIS MONOFOCAL IOLS HQL ABBOTT MEDICAL OPTICS ZA9003

Patients

Seq Age Sex Outcome Treatment
1 79 YR Required Intervention