FDA Adverse Event Injury Summary report: N

TECNIS

MDR report key: 4828000 · Received June 9, 2015

Report

Report Number
9614546-2015-00134
Event Type
Injury
Date Received
June 9, 2015
Date of Event
January 1, 2015
Report Date
May 12, 2015
Manufacturer
ABBOTT MEDICAL OPTICS
Product Code
MFK
PMA / PMN Number
P080010
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
BR
Reporter Occupation
PHYSICIAN

Narratives

Additional Manufacturer Narrative · 1

ADDITIONAL INFORMATION WAS RECEIVED AND STATED THE PATIENT'S VISUAL ACUITY POST OPERATIVE WAS 0.9 IN BOTH EYES. THE PATIENT COMPLAINED THAT THE RIGHT EYE WAS MORE BLURRY. MEDICATIONS USED BY THE PATIENT WERE PRED FORT AND WERE USED (PRESCRIBED) AFTER NOTICING THE MEMBRANE, BUT THERE WAS NO INFLAMMATORY SIGNAL IN THE ANTERIOR SEGMENT. A REVIEW OF THE MANUFACTURING RECORDS WAS PERFORMED. THERE WERE NO NON CONFORMANCES WITH RESPECT TO THE FINAL PRODUCT RELEASE PROCESS. THERE WERE NO ASSOCIATED NONCONFORMITY REPORTS OR DEVIATIONS. THERE WERE NO PROCESS AND/OR MATERIAL CHANGES WITHIN THE PRODUCTION ORDER. STERILIZATION BATCH WAS RELEASED 31-MAY-2013 AND THERE WERE NO NON CONFORMANCES WITH RESPECT TO THE STERILIZATION PROCESS. THE RESULTS OF COSMETIC INSPECTION PERFORMED AT FINAL INSPECTION WAS REVIEWED. THE IN-LINE OPTICAL INSPECTION DATA SHOWED THAT THE LENS WAS WITHIN POWER SPECIFICATION AND THE LENS MET THE SPECIFIED COSMETIC REQUIREMENTS. A SEARCH ON COMPLAINTS REVEALED THAT NO OTHER COMPLAINTS FOR THIS ORDER NUMBER WERE RECEIVED TO DATE. THE PRODUCTION ORDER DID NOT SHOW ANY DEVIATION OR ASSIGNABLE CAUSE FOR THE COMPLAINT TYPE REPORTED OR WAS RELATED TO THE INITIAL REPORT INFORMATION. THE DOCUMENTATION SHOWED THAT THE PRODUCTION ORDER WAS MANUFACTURED ACCORDING TO SPECIFICATIONS PRIOR TO RELEASE. ALL PERTINENT INFORMATION AVAILABLE TO ABBOTT MEDICAL OPTICS HAS BEEN SUBMITTED.

Additional Manufacturer Narrative · 1

DATE OF EVENT: THE DOCTOR REPORTED THE PROBLEM ON (B)(6) 2015. THE SPECIFIC DAY WAS NOT PROVIDED. EXPLANT DATE: NOT APPLICABLE; LENS REMAINS IMPLANTED AT THE TIME OF SUBMITTING THE MDR. INITIAL REPORTER: PHONE NUMBER : (B)(6). (B)(4). THE MANUFACTURING RECORD REVIEW WAS PERFORMED. THE DOCUMENTATION SHOWS THAT THE PRODUCTION ORDER WAS MANUFACTURED ACCORDING TO SPECIFICATIONS. THERE WERE NO PROCESS AND / OR MATERIAL CHANGES WITHIN THE PRODUCTION ORDER NUMBER. THERE WERE NO NONCONFORMANCES WITH RESPECT TO THE FINAL PRODUCT RELEASE PROCESS. THE PRODUCT MET MANUFACTURING RELEASE CRITERIA. ALL PERTINENT INFORMATION AVAILABLE TO ABBOTT MEDICAL OPTICS HAS BEEN SUBMITTED. PLACEHOLDER.

Description of Event or Problem · 1

THE DOCTOR REPORTED THE APPEARANCE OF A FILAMENTOUS MEMBRANE STRIP ON THE FRONT SIDE OF THE INTRAOCULAR LENS MORE PRECISELY IN THE RING JUNCTION, ELEVEN MONTHS AFTER SURGERY. IT WAS STATED THAT BILATERAL LENS IMPLANTATION WAS PERFORMED ON (B)(6) 2014. IN (B)(6) 2015 THE PHYSICIAN NOTICED THE APPEARANCE OF THIN MEMBRANE, GRAYISH, FILAMENTOUS, WITH FREE INTERVALS IN BOTH EYES WITHOUT INFLAMMATORY REACTION AND POSTERIOR SURFACE WITHOUT OPACITIES. THE PHYSICIAN INFORMED THAT NO SURGICAL INTERVENTION WILL BE DONE. ADDITIONAL INFORMATION WAS REPORTED BY THE PHYSICIAN INDICATING THAT THERE WAS A REDUCTION OF VISUAL ACUITY COMMENTED BY THE PATIENT. AN EVALUATION THROUGH SLIT LAMP (BIOMICROSCOPE) WITH DILATED PUPILS WAS PERFORMED. THERE WAS NO INFLAMMATORY SIGNAL IN THE ANTERIOR SEGMENT. NO FURTHER INFORMATION WAS PROVIDED. A SEPARATE MEDICAL DEVICE REPORT WILL BE SUBMITTED FOR THIS PATIENT FOR EACH EYE.

Description of Event or Problem · 1

ADDITIONAL INFORMATION WAS RECEIVED AND STATED THE PATIENT''S VISUAL ACUITY POST OPERATIVE WAS 0.9 IN BOTH EYES. THE PATIENT COMPLAINED THAT THE RIGHT EYE WAS MORE BLURRY. MEDICATIONS USED BY THE PATIENT WERE PRED FORT AND WERE USED (PRESCRIBED) AFTER NOTICING THE MEMBRANE, BUT THERE WAS NO INFLAMMATORY SIGNAL IN THE ANTERIOR SEGMENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
371152 TECNIS MULTIFOCAL IOLS MFK ABBOTT MEDICAL OPTICS ZMA00

Patients

Seq Age Sex Outcome Treatment
1 73 YR Other