FDA Adverse Event Injury Summary report: N

IOLMASTER 700

MDR report key: 7054173 · Received November 22, 2017

Report

Report Number
9615030-2017-00026
Event Type
Injury
Date Received
November 22, 2017
Report Date
October 27, 2017
Manufacturer
CARL ZEISS MEDITEC AG (JENA)
Product Code
HJO
PMA / PMN Number
K143275
Adverse Event
Yes
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
NY, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 0

THE DEVICE EVALUATION WAS COMPLETED BY THE MANUFACTURER ON MARCH 7, 2018. UPDATED FROM "NO" TO "YES" AND INDICATED "EVALUATION SUMMARY ATTACHED". (B)(4).

Additional Manufacturer Narrative · 1

A FOLLOW-UP REPORT WILL BE SUBMITTED ONCE THE DEVICE EVALUATION IS COMPLETED.

Description of Event or Problem · 1

THE HEALTH CARE PROFESSIONAL (HCP) REPORTED THE FOLLOWING: THE OS REFRACTIVE OUTCOME AFTER CATARACT SURGERY WITH AN INTRAOCULAR LENS (IOL) IMPLANTATION DIFFERED BY 0.50 DIOPTER FROM THE TARGET REFRACTION. THE HCP INFORMED THAT A RE-TREATMENT IS PLANNED. THE IOLMASTER 700 WAS USED FOR THE ORIGINAL BIOMETRY MEASUREMENTS AND LENS POWER CALCULATIONS.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
833242 IOLMASTER 700 BIOMICROSCOPE, SLIT-LAMP, AC-POWERED HJO CARL ZEISS MEDITEC AG (JENA) NA NA

Patients

Seq Age Sex Outcome Treatment
1 67 YR Other