FDA Adverse Event Injury Summary report: N

TECNIS

MDR report key: 3162986 · Received June 11, 2013

Report

Report Number
2648035-2013-00242
Event Type
Injury
Date Received
June 11, 2013
Date of Event
May 16, 2013
Report Date
May 16, 2013
Manufacturer
ABBOTT MEDICAL OPTICS
Product Code
HQL
PMA / PMN Number
P990080
Adverse Event
Yes
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
KY, US
Reporter Occupation
PHYSICIAN

Narratives

Additional Manufacturer Narrative · 1

(B)(4): VISUAL INSPECTION OF THE RETURNED PRODUCT REVEALED THE LENS HAD ONE DETACHED HAPTIC, TORN OPTIC AND APPEARS TO HAVE EVIDENCE OF VISCOELASTIC, OVD, (OPHTHALMIC VISCOSURGICAL DEVICE). ALL PERTINENT INFORMATION AVAILABLE TO ABBOTT MEDICAL OPTICS HAS BEEN SUBMITTED. (B)(4).

Description of Event or Problem · 1

IT WAS REPORTED THAT THE PATIENT UNDERWENT AN IMPLANTATION OF AN INTRAOCULAR LENS (IOL) WHICH WAS REMOVED AND REPLACED IN THE SAME PROCEDURE WHEN THE SURGEON OBSERVED A BENT HAPTIC. THE INCISION WAS ENLARGED TO 3MM. NO PATIENT INJURY WAS REPORTED. NO ADDITIONAL INFORMATION WAS PROVIDED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
262195 TECNIS MONOFOCAL IOLS HQL ABBOTT MEDICAL OPTICS ZA9003

Patients

Seq Age Sex Outcome Treatment
1 Required Intervention