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 |