FDA Adverse Event Injury Summary report: N

TECNIS SYMFONY TORIC

MDR report key: 7535948 · Received May 22, 2018

Report

Report Number
9614546-2018-00497
Event Type
Injury
Date Received
May 22, 2018
Report Date
September 10, 2018
Manufacturer
JOHNSON & JOHNSON SURGICAL VISION, INC.
Product Code
MFK
UDI-DI
05050474605176
PMA / PMN Number
P980040
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
OH, US
Reporter Occupation
PHYSICIAN

Narratives

Additional Manufacturer Narrative · 0

DEVICE EVALUATION: THE PRODUCT TESTING COULD NOT BE PERFORMED AS THE PRODUCT WAS NOT RETURNED. THE REPORTED COMPLAINT CANNOT BE CONFIRMED. MANUFACTURING RECORD REVIEW: THE MANUFACTURING PROCESS RECORD WAS EVALUATED AND NO DEVIATION WAS FOUND DURING PROCESS RELATED TO THE COMPLAINT ISSUE REPORTED. THERE WAS NO DISCREPANCY FOUND DURING THE MRR (MANUFACTURING RECORD REVIEW). THE PRODUCT WAS MANUFACTURED AND RELEASED ACCORDING TO SPECIFICATIONS. LABELING REVIEW: THE DIRECTIONS FOR USE (DFU) WAS REVIEWED. THE DFU ADEQUATELY PROVIDES INSTRUCTIONS AND PRECAUTIONS FOR THE PROPER USE AND HANDLING OF THE PRODUCT. CONCLUSION: BASED ON THE INVESTIGATION RESULTS THERE IS NO INDICATION OF A PRODUCT QUALITY DEFICIENCY. ALL PERTINENT INFORMATION AVAILABLE TO JOHNSON & JOHNSON SURGICAL VISION, INC. HAS BEEN SUBMITTED.

Additional Manufacturer Narrative · 0

CORRECTION: INITIAL MDR (MEDICAL DEVICE REPORT) INADVERTENTLY INDICATED MODEL ZCT225 AS REPLACEMENT LENS FOR RIGHT EYE (OD), BUT IT SHOULD BEEN REPORTED AS ZCT150. ALL PERTINENT INFORMATION AVAILABLE TO JOHNSON & JOHNSON SURGICAL VISION, INC. HAS BEEN SUBMITTED.

Additional Manufacturer Narrative · 1

DATE OF EVENT: EXACT DATE OF EVENT WAS NOT PROVIDED. THE BEST ESTIMATE DATE IS BETWEEN (B)(6) 2017 AND (B)(6) 2017. (B)(4). ALL PERTINENT INFORMATION AVAILABLE TO JOHNSON & JOHNSON SURGICAL VISION, INC. HAS BEEN SUBMITTED.

Description of Event or Problem · 1

IT WAS REPORTED THAT PATIENT WAS DISSATISFIED WITH THE ZXT150 INTRAOCULAR LENS (IOL) IMPLANTED IN THE RIGHT EYE (OD), THE LENS WAS EXPLANTED. THE LENS WAS REPLACED WITH A MODEL ZCT225. NO ADDITIONAL INFORMATION PROVIDED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
377778 TECNIS SYMFONY TORIC MULTIFOCAL IOLS MFK JOHNSON & JOHNSON SURGICAL VISION, INC. ZXT150 05050474605176

Patients

Seq Age Sex Outcome Treatment
1 Required Intervention