FDA Adverse Event Injury Summary report: N

IOLMASTER

MDR report key: 6950226 · Received October 13, 2017

Report

Report Number
9615030-2017-00022
Event Type
Injury
Date Received
October 13, 2017
Date of Event
August 11, 2017
Report Date
September 14, 2017
Manufacturer
CARL ZEISS MEDITEC AG (JENA)
Product Code
HJO
PMA / PMN Number
K993357
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
MI, US
Reporter Occupation
PHYSICIAN

Narratives

Additional Manufacturer Narrative · 1

THE CUSTOMER DECIDED NOT TO REPAIR THE INSTRUMENT AT THIS TIME. THEREFORE, REPLACEMENT OF THE IOLMASTER HEAD AS INDICATED IN THE INITIAL REPORT WAS NOT POSSIBLE. UPDATED FROM "14-SEP-2017" TO "18-OCT-2017" FOR FOLLOW UP. UPDATED FROM "INITIAL" TO "FOLLOW-UP #: 1". ENTERED "ADDITIONAL INFORMATION". ADDED DESCRIPTION OF FURTHER UPDATES.

Additional Manufacturer Narrative · 1

A NUMBER OF FACTORS NOT RELATED TO THE LOLMASTER MAY HAVE INFLUENCED THE SURGICAL OUTCOME. THE QUALITY OF KERATOMETRY MEASUREMENTS IS HIGHLY DEPENDENT ON STABLE TEAR FILM, CORRECT FIXATION, AND WIDE OPEN EYES. THE USER MANUAL DESCRIBES IN DETAIL HOW TO PERFORM INTRAOCULAR LENS MEASUREMENTS AND CALCULATIONS AND CONTAINS WARNINGS ABOUT RELEVANT PARAMETERS.

Description of Event or Problem · 1

THE HEALTHCARE PROFESSIONAL (HCP) REPORTED THE FOLLOWING: THE IOLMASTER WAS USED FOR THE PATIENT'S BIOMETRY MEASUREMENTS. THE ALCON SA60AT LENS WITH A POWER OF +17.0 DIOPTER WAS USED. THE OS POST-REFRACTIVE OUTCOME AFTER A CATARACT SURGERY WITH AN INTRAOCULAR LENS (IOL) IMPLANTATION DIFFERED -6.00 DIOPTER FROM THE TARGET REFRACTION. THE HCP MADE A DECISION TO EXCHANGE THE IOL.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
727263 IOLMASTER BIOMICROSCOPE, SLIT-LAMP, AC-POWERED HJO CARL ZEISS MEDITEC AG (JENA) XP NA

Patients

Seq Age Sex Outcome Treatment
1 48 YR Other