FDA Adverse Event Injury Summary report: N

TECNIS 1 MULTIFOCAL

MDR report key: 6111705 · Received November 17, 2016

Report

Report Number
9614546-2016-00609
Event Type
Injury
Date Received
November 17, 2016
Date of Event
September 30, 2016
Report Date
April 20, 2017
Manufacturer
ABBOTT MEDICAL OPTICS
Product Code
MFK
UDI-DI
05050474560086
PMA / PMN Number
P980040
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
NJ, US
Reporter Occupation
PHYSICIAN

Narratives

Additional Manufacturer Narrative · 1

DEVICE EVALUATION: THE DEVICE WAS NOT RETURNED TO THE MANUFACTURER FOR EVALUATION. DEVICE INSPECTION COULD NOT BE PERFORMED, THEREFORE THE REPORTED COMPLAINT COULD NOT BE VERIFIED. MANUFACTURING RECORDS WERE REVIEWED AND THE LENS WAS MANUFACTURED ACCORDING TO SPECIFICATION. A SEARCH ON COMPLAINTS REVEALED NO SIMILAR COMPLAINTS WERE RECEIVED FOR THIS PRODUCTION ORDER NUMBER. THE DIRECTIONS FOR USE (DFU) WAS REVIEWED. THE DFU ADEQUATELY PROVIDES INSTRUCTIONS AND PRECAUTIONS FOR THE PROPER USE AND HANDLING OF THE INTRAOCULAR LENSES. BASED ON THE INVESTIGATION RESULTS THERE IS NO INDICATION OF A PRODUCT QUALITY DEFICIENCY. ALL PERTINENT INFORMATION AVAILABLE TO THE MANUFACTURER HAS BEEN SUBMITTED.

Additional Manufacturer Narrative · 1

(B)(4). ALL PERTINENT INFORMATION AVAILABLE TO ABBOTT MEDICAL OPTICS HAS BEEN SUBMITTED.

Description of Event or Problem · 1

IT WAS REPORTED THAT A ZKB00 20.0 DIOPTER INTRAOCULAR LENS WAS EXPLANTED FROM THE RIGHT EYE OF A FEMALE PATIENT DUE TO AN UNEXPECTED POST UP REFRACTION. LENS WAS REPLACED WITH THE SAME MODEL LENS BUT WITH A 19.0 DIOPTER. THERE WAS NO INCISION ENLARGEMENT, NO VITRECTOMY, AND NO SUTURES REQUIRED. NO PATIENT INJURY POST-OP AND PATIENT IS DOING WELL.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
759141 TECNIS 1 MULTIFOCAL MULTIFOCAL IOLS MFK ABBOTT MEDICAL OPTICS ZKB00 05050474560086

Patients

Seq Age Sex Outcome Treatment
1 56 YR Required Intervention