FDA Adverse Event Malfunction Summary report: N

TECNIS OPTIBLUE ITEC PRELOADED 1-PIECE IOL

MDR report key: 6839410 · Received September 1, 2017

Report

Report Number
2648035-2017-01581
Event Type
Malfunction
Date Received
September 1, 2017
Date of Event
August 7, 2017
Report Date
September 1, 2017
Manufacturer
ABBOTT MEDICAL OPTICS
Product Code
HQL
Product Problem
Yes
Report Source
Manufacturer report
Reporter Occupation
PHYSICIAN

Narratives

Additional Manufacturer Narrative · 1

IF EXPLANTED; GIVE DATE: N/A (NOT APPLICABLE). THE INTRAOCULAR LENS REMAINS IMPLANTED. (B)(6). THIS REPORT IS BEING FILED ON AN INTERNATIONAL DEVICE; TECNIS OPTIBLUE ITEC PRELOADED 1-PIECE IOL, MODEL PCB00V THAT HAS A SIMILAR DEVICE, TECNIS 1-PIECE IOL MODEL PCB00 WHICH IS DISTRIBUTED IN THE UNITED STATES UNDER PMA P980040. DEVICE EVALUATION: THE PRODUCT WAS NOT RETURNED FOR EVALUATION; HOWEVER, VIDEOS WERE PROVIDED. THE VIDEOS WERE REVIEWED. BASED ON THE VIDEOS, IN THE RIGHT SIDE OF THE LENS, SOMETHING APPEARED TO BE LIKE A FIBER. BASED ON THE VIDEOS, THE REPORTED COMPLAINT WAS CONFIRMED. HOWEVER, THE PCB00 WAS NOT RETURNED TO EVALUATE THE COMPONENTS ASSEMBLY IN ORDER TO CONFIRM OR VERIFY THE REPORTED CONTAMINATION. THEREFORE, IT CANNOT BE DETERMINED IF THE PARTICLE CAME FROM THE INSIDE OF THE PCB00 DEVICE OR BELONGED TO A DIFFERENT ENVIRONMENT. MANUFACTURING RECORDS REVIEW: THE MANUFACTURING RECORD COULD NOT BE REVIEWED SINCE THE SERIAL NUMBER IS UNKNOWN. THE COMPLAINT HISTORY COULD NOT BE PERFORMED SINCE THE SERIAL NUMBER IS UNKNOWN. LABELING REVIEW: THE DIRECTIONS FOR USE (DFU) WERE REVIEWED. THE DFU PROVIDE THE CUSTOMER WITH PROPER USAGE INSTRUCTIONS AND GUIDELINES. CONCLUSION: AS A RESULT OF THE INVESTIGATION, THERE IS NO INDICATION OF A PRODUCT QUALITY DEFICIENCY. ALL PERTINENT INFORMATION AVAILABLE TO ABBOTT MEDICAL OPTICS HAS BEEN SUBMITTED.

Description of Event or Problem · 1

IT WAS REPORTED THAT JUST AFTER THE INSERTION OF THE INTRAOCULAR LENS (IOL), THE DOCTOR OBSERVED A WHITE SUBSTANCE ON THE ANTERIOR SURFACE OF THE OPTIC. IT WAS DIFFICULT TO REMOVE IT BY THE IRRIGATION/ASPIRATION (I/A) PROCEDURE DUE TO THE FACT IT WAS HARD. WHEN REMOVING IT BY I/A, THE DOCTOR FORCIBLY TRIED TO PULL IT OUT WHILE PUTTING IT INTO THE I/A TIP. THE DEBRIS WAS DROPPED BEHIND THE IRIS AND REMOVED BY I/A. THERE WAS NO PATIENT INJURY. NO ADDITIONAL INFORMATION WAS PROVIDED TO ABBOTT MEDICAL OPTICS.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
617175 TECNIS OPTIBLUE ITEC PRELOADED 1-PIECE IOL MONOFOCAL IOLS HQL ABBOTT MEDICAL OPTICS PCB00V

Patients

Seq Age Sex Outcome Treatment
1