FDA Adverse Event Injury Summary report: N

TECNIS 1 MULTIFOCAL

MDR report key: 6100749 · Received November 14, 2016

Report

Report Number
9614546-2016-00596
Event Type
Injury
Date Received
November 14, 2016
Date of Event
October 25, 2016
Report Date
November 14, 2016
Manufacturer
ABBOTT MEDICAL OPTICS
Product Code
MFK
UDI-DI
05050474560666
PMA / PMN Number
P980040
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
CA, US
Reporter Occupation
PHYSICIAN

Narratives

Additional Manufacturer Narrative · 1

(B)(4). DEVICE EVALUATION: PRODUCT TESTING COULD NOT BE PERFORMED BECAUSE THE PRODUCT WAS NOT RETURNED. THEREFORE, REPORTED COMPLAINT CANNOT BE CONFIRMED. MANUFACTURING RECORD REVIEW: DURING THE MANUFACTURING RECORD REVIEW OF THE PRODUCTION ORDER FOR THIS SERIAL NUMBER, NO PRODUCT DEFICIENCY WAS IDENTIFIED. THE DOCUMENTATION SHOWS THAT THE PRODUCTION ORDER WAS MANUFACTURED ACCORDING TO SPECIFICATIONS. A REVIEW OF THE COMPLAINTS RELATED TO THE PRODUCTION ORDER WAS PERFORMED AND THE RESULTS REVEALED NO SIMILAR COMPLAINTS FOR THIS ORDER NUMBER. A HISTORICAL COMPLAINT DATA REVIEW WAS PERFORMED AND RESULTS DID NOT IDENTIFY ANY PRODUCT DEFICIENCY. LABELING REVIEW: THE DIRECTIONS FOR USE (DFU) WAS REVIEWED. THE DFU ADEQUATELY PROVIDES INSTRUCTIONS AND PRECAUTIONS FOR THE PROPER USE AND HANDLING OF THE PRODUCT. BASED ON THE MANUFACTURING RECORDS REVIEW, HISTORICAL COMPLAINT REVIEW AND NON-CONFORMANCE/CAPA REVIEW, THERE IS NO INDICATION OF A PRODUCT DEFICIENCY. ALL PERTINENT INFORMATION AVAILABLE TO ABBOTT MEDICAL OPTICS HAS BEEN SUBMITTED.

Description of Event or Problem · 1

IT WAS REPORTED THAT A ZLB00 INTRAOCULAR LENS (IOL) WAS EXPLANTED FROM THE RIGHT EYE (OD) OF A FEMALE PATIENT DUE TO A WRONG POWER LENS WAS IMPLANTED. THE PATIENT'S SYMPTOMS WERE HALOS AND GLARE, VISUAL DISTURBANCE, AND POOR VISUAL QUALITY. THE PATIENT WAS PRE-OP SEQ -0.25 AND POST-OP SEQ +0.75. NO FURTHER INFORMATION WAS PROVIDED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
751783 TECNIS 1 MULTIFOCAL MULTIFOCAL IOLS MFK ABBOTT MEDICAL OPTICS ZLB00 05050474560666

Patients

Seq Age Sex Outcome Treatment
1 75 YR Required Intervention