FDA Adverse Event Injury Summary report: N

TECNIS 1 MULTIFOCAL

MDR report key: 3232571 · Received July 18, 2013

Report

Report Number
2648035-2013-00293
Event Type
Injury
Date Received
July 18, 2013
Date of Event
May 14, 2013
Report Date
June 25, 2013
Manufacturer
ABBOTT MEDICAL OPTICS
Product Code
MFK
PMA / PMN Number
P980040
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
IN, US
Reporter Occupation
PHYSICIAN

Narratives

Additional Manufacturer Narrative · 1

(B)(4) PLACEHOLDER.

Additional Manufacturer Narrative · 1

FOLLOW UP FROM THE LOCATION CONTACT CLARIFIED THAT THE PATIENT COULD NOT ADAPT TO MULTIFOCALITY. THE INTRAOCULAR LENS WAS EXPLANTED AND A MONOFOCAL LENS WAS IMPLANTED. THE PATIENT IS REPORTED TO BE DOING EXCELLENT, WITH GOOD DISTANCE VISION AND WEARING READING GLASSES FOR NEAR. MANUFACTURING RECORDS WERE REVIEWED. DEVICE MANUFACTURING RECORD WAS REVIEWED WITH THE FOLLOWING RESULTS: ALL PROCESS OPERATIONS PRESENTED IN THE MANUFACTURING RECORD FROM GENERATION TO BOXING WERE IN COMPLIANCE WITH MANUFACTURING INSTRUCTIONS SPECIFICATIONS. ALL TESTS RESULTS SHOWED A PASS CONDITION. NO DEVIATION OR NONCONFORMANCE (NCR) RELATED TO THE CUSTOMER CLAIM WAS GENERATED. ALL PERTINENT INFORMATION AVAILABLE TO THE MANUFACTURER HAS BEEN SUBMITTED. PLACEHOLDER.

Additional Manufacturer Narrative · 1

THE INTRAOCULAR LENS (IOL) WAS RETURNED TO THE MANUFACTURER. VISUAL EXAMINATION OF THE DEVICE FOUND THAT IT HAD BEEN CUT IN HALF AND BOTH HAPTICS WERE MISSING. A FEW LOOSE PARTICLES WERE OBSERVED IN THE OPTIC ZONE COMPATIBLE WITH HANDLING THE LENS OUT OF THE STERILE ENVIRONMENT. INSPECTION AT 10X MAGNIFICATION CONFIRMED THE LENS TO BE A ZMB00 MODEL. THE CONDITION OF THE RETURNED LENS IS CONSISTENT WITH ONE THAT HAS BEEN IMPLANTED AND EXPLANTED FROM A PATIENT'S EYE. IT ALSO PRECLUDED THE ABILITY TO PERFORM A DIOPTER CHECK. THE CUSTOMER COMPLAINT COULD NOT BE CONFIRMED. (B)(4). ALL PERTINENT INFORMATION AVAILABLE TO THE MANUFACTURER HAS BEEN SUBMITTED. PLACEHOLDER.

Description of Event or Problem · 1

WE RECEIVED A REPORT CONCERNING A PATIENT WHERE THE PATIENT HAD A BILATERAL INTRAOCULAR LENS (IOL)EXPLANT AS SHE WAS NOT ABLE TO ADAPT BILATERALLY. THE INTRAOCULAR LENS WAS REPLACED WITH A MONOFOCAL LENS. NO SUTURES WERE USED AND NO PATIENT INJURY REPORTED. THIS REPORT FOR THE RIGHT EYE; A SEPARATE REPORT IS FILED FOR THE LEFT EYE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
334348 TECNIS 1 MULTIFOCAL MULTIFOCAL IOLS MFK ABBOTT MEDICAL OPTICS ZMB00

Patients

Seq Age Sex Outcome Treatment
1 64 YR Required Intervention