FDA Adverse Event Injury Summary report: N

IOLMASTER 700

MDR report key: 6184259 · Received December 17, 2016

Report

Report Number
9615030-2016-00011
Event Type
Injury
Date Received
December 17, 2016
Report Date
November 18, 2016
Manufacturer
CARL ZEISS MEDITEC AG (JENA)
Product Code
HJO
PMA / PMN Number
K143275
Removal / Correction Number
NA
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
DA
Reporter Occupation
PHYSICIAN

Narratives

Additional Manufacturer Narrative · 1

(B)(4).

Description of Event or Problem · 1

THIS IS CASE TWO OF TWO REPORTED FROM SAME CUSTOMER SITE IN (B)(6). THE HEALTH CARE PROFESSIONAL (HCP) REPORTED THAT THE POST REFRACTIVE OUTCOME AFTER A CATARACT SURGERY WITH INTRAOCULAR LENS (IOL) IMPLANTATION WAS DIFFERENT FROM THE TARGET REFRACTION. THE HEALTHCARE PROFESSIONAL MADE A DECISION TO EXCHANGE THE IOL. NO FURTHER INFORMATION REGARDING THE PATIENT AND INCIDENT COULD BE OBTAINED. THE HCP USED THE IOLMASTER 700 FOR THE BIOMETRY MEASUREMENTS AND IOL CALCULATIONS.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
834814 IOLMASTER 700 BIOMICROSCOPE, SLIT-LAMP, AC-POWERED HJO CARL ZEISS MEDITEC AG (JENA) NA NA

Patients

Seq Age Sex Outcome Treatment
1 Other