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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: AMO PUERTO RICO MFG. INC. TECNIS SIMPLICITY; INTRAOCULAR LENS

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AMO PUERTO RICO MFG. INC. TECNIS SIMPLICITY; INTRAOCULAR LENS Back to Search Results
Model Number DIB00
Device Problem Physical Resistance/Sticking (4012)
Patient Problem No Clinical Signs, Symptoms or Conditions (4582)
Event Date 04/25/2023
Event Type  malfunction  
Event Description
It was reported that the surgeon implanted three preloaded intraocular lenses (iols) on (b)(6) 2023, and in each case the trailing haptic stuck to the optic and a second instrument was required to unstick it.The surgeon used a straight connor wand and a second bent connor wand and used both to squeeze the bulb of the haptic and lift it off the optic and then it would release.The surgeon reported that it takes about 10 seconds.In these cases, the surgeon noted that it is more than just a "tap" ¿ it is mechanically lifting the haptic off the optic.The surgeon noted that "it is not a big deal" for the surgeon, but it does add a few seconds to the case.No further information was provided.
 
Manufacturer Narrative
Section d6b: if explanted, give date: not applicable, as the lenses remain implanted.Section d4: model number: the surgeon noted the issue was with preloaded eyhance iols, the exact model(s) is unknown.Section d4: serial number: unknown, information was requested but not provided.Section d4: catalog number: a complete catalog number is unknown, as the serial number was not provided.Section d4: expiration date: unknown, as the serial number was not provided.Section d4: unique identifier (udi) number: unknown, as the serial number was not provided.Section h4: device manufacture date: unknown, as the serial number was not provided.Section h3-other (81): the device was not returned for evaluation, as it remains implanted, and the serial number for this device is unknown/not provided; therefore, no further product investigation can be performed.Should any further relevant information become available a supplemental medwatch will be filed.Attempts were made to obtain the missing information; however, no additional information has been received.All pertinent information available to johnson & johnson surgical vision, inc.Has been submitted.
 
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Brand Name
TECNIS SIMPLICITY
Type of Device
INTRAOCULAR LENS
Manufacturer (Section D)
AMO PUERTO RICO MFG. INC.
road 402 north, anasco ind. pk
anasco PR 00610
Manufacturer Contact
somyata nagpal
31 technology drive
irvine, CA 92618
7142478552
MDR Report Key16955941
MDR Text Key316444138
Report Number3012236936-2023-01270
Device Sequence Number1
Product Code HQL
UDI-Public(01)
Combination Product (y/n)N
Reporter Country CodeUS
PMA/PMN Number
P980040
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type Health Professional,User Facility
Reporter Occupation Physician
Type of Report Initial
Report Date 05/18/2023
1 Device was Involved in the Event
1 Patient was Involved in the Event
Date FDA Received05/18/2023
Is this an Adverse Event Report? No
Is this a Product Problem Report? Yes
Device Operator Health Professional
Device Model NumberDIB00
Device Catalogue NumberUNK-DIB00
Was Device Available for Evaluation? No
Is the Reporter a Health Professional? Yes
Was the Report Sent to FDA? No
Date Manufacturer Received04/25/2023
Was Device Evaluated by Manufacturer? Device Not Returned to Manufacturer
Is the Device Single Use? Yes
Is This a Reprocessed and Reused Single-Use Device? No
Type of Device Usage Initial
Patient Sequence Number1
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