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U.S. Department of Health and Human Services

Class 2 Device Recall Carl Ziess Meditec AG IOLMaster 700

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 Class 2 Device Recall Carl Ziess Meditec AG IOLMaster 700see related information
Date Initiated by FirmJune 25, 2018
Create DateOctober 15, 2018
Recall Status1 Terminated 3 on January 15, 2021
Recall NumberZ-0108-2019
Recall Event ID 81000
510(K)NumberK170171 
Product Classification Biomicroscope, slit-lamp, ac-powered - Product Code HJO
ProductCarl Zeiss Meditec AG, Goeschwitzer Strasse 51-52 07745 Jena, Germany, IOLMaster 700, REF 1932-169 SN 1185393 2017-09-01
Code Information Model: 700 Catalog Number: 000000-1932-169 Serial Number: 1185393 UDI: 04049471092080
Recalling Firm/
Manufacturer
Carl Zeiss Meditec AG
Carl-Zeiss-Promenade 10
Jena Germany
Manufacturer Reason
for Recall
Calibration setting was incorrectly entered during manufacturing causing the optical coherence tomography (OCT) to obtain the incorrect two-dimensional images of ocular structures of the anterior and posterior segments of the eye.
FDA Determined
Cause 2
Employee error
ActionOn 08/06/2018 the firm sent a Field Safety Corrective Action letter to customers via FedEx Priority Overnight service informing them that based on routine post market surveillance activities, we have information that this specific IOLMaster 700 device is incorrectly calibrated. The calibration value for axial length measurement was not entered correctly in the device settings during the manufacturing process. The transmission discrepancy leads to an error during the axial length measurement of approx. 0.25mm. A deviation in the axial length of this magnitude results in an error of Single unit. approx. 0.8 Diopter with regard to the intraocular lens. This in turn results in a refractive error of about 0.5 Diopter. The local firm's service organization will remove this device from the field. The device manufacturer will recalibrate the device to ensure it meets specifications. Hazard involved: The likelihood of a faulty entered calibration value for axial length measurement in the production process of IOLMaster 700 is considered rare. The probability of injury, i.e. reduced visual acuity due to the implantation of a wrong IOL power, is very likely for the affected device, because the axial length of the eye cannot be measured correctly. The device failure may only be recognized through post-surgical examination. Affected product: Quantity: 1 Product Name: IOLMaster 700 Product Number: 000000-1932-169 Device Serial Number: 1185393 Manufacturing Date: 2017-09-18 Actions to be taken: 1. Discontinue use of the ZEISS IOLMaster 700 device (Serial Number 1185393). Physicians are asked to review refractive results during usage of this device and to inform the firm about any hyperopic refractive surprises noticed. Any measurement and calculation data from this device should not be taken into consideration for further treatments. 2. Complete and return the attached Medical Device Recall Return Response Form to USFCA.meditec.us@zeiss.com no later than Jun
Quantity in Commerce1
DistributionUS: CA (Mountain View and San Jose) A single system. No distributed OUS.
Total Product Life CycleTPLC Device Report

1 A record in this database is created when a firm initiates a correction or removal action. The record is updated if the FDA identifies a violation and classifies the action as a recall, and it is updated for a final time when the recall is terminated. Learn more about medical device recalls.
2 Per FDA policy, recall cause determinations are subject to modification up to the point of termination of the recall.
3 For details about termination of a recall see Code of Federal Regulations (CFR) Title 21 §7.55.
510(K) Database510(K)s with Product Code = HJO
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