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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: ABBOTT MEDICAL OPTICS TECNIS ITEC PRELOADED 1-PIECE IOL; MONOFOCAL IOLS

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ABBOTT MEDICAL OPTICS TECNIS ITEC PRELOADED 1-PIECE IOL; MONOFOCAL IOLS Back to Search Results
Model Number PCB00
Device Problems Bent (1059); Device Damaged Prior to Use (2284)
Patient Problem No Patient Involvement (2645)
Event Date 05/10/2017
Event Type  malfunction  
Manufacturer Narrative
If implanted,/explanted, give date: not applicable no patient contact reported.All pertinent information available to abbott medical optics has been submitted.
 
Event Description
It was reported that the cartridge of a preloaded delivery system was noticed bent at the tip when removing it from the package.No patient contact was reported.No further information was provided.
 
Manufacturer Narrative
Additional information was received and it was learnt that the product was discarded by the customer.Therefore product testing could not be performed and the customer's reported complaint could not be verified.Manufacturing records review: the manufacturing records for the intraocular lens were reviewed.The product was manufactured and released according to specification.A search revealed that no additional investigation requests for this order number have been received.Labeling review: the directions for use (dfu) adequately provides instructions and precautions along with warnings for the proper use and handling of the device.The dfu states to inspect the device for particles, material deposits, damage, or other defects.It also states not to use the device if the cartridge tip is damaged, nicked, split or cracked open.As a result of the investigation there is no indication of a product quality deficiency and the reported issue could not be verified.All pertinent information available to abbott medical optics has been submitted.
 
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Brand Name
TECNIS ITEC PRELOADED 1-PIECE IOL
Type of Device
MONOFOCAL IOLS
Manufacturer (Section D)
ABBOTT MEDICAL OPTICS
santa ana CA
Manufacturer (Section G)
ABBOTT MEDICAL OPTICS INC.
road 402 north, km 4.2
anasco industrial park, pob 14
anasco PR 00610
Manufacturer Contact
pam mcclain
1700 east st. andrew place
santa ana, CA 92705
7142478243
MDR Report Key6613539
MDR Text Key76727546
Report Number2648035-2017-01001
Device Sequence Number1
Product Code HQL
UDI-Device Identifier05050474558342
UDI-Public(01)05050474558342(17)200116
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 company representative,health
Reporter Occupation Physician
Type of Report Initial,Followup
Report Date 06/05/2017
1 Device was Involved in the Event
1 Patient was Involved in the Event
Date FDA Received06/05/2017
Is this an Adverse Event Report? No
Is this a Product Problem Report? Yes
Device Operator Physician
Device Expiration Date01/16/2020
Device Model NumberPCB00
Device Catalogue NumberPCB0000240
Was Device Available for Evaluation? No
Is the Reporter a Health Professional? Yes
Date Manufacturer Received07/27/2017
Was Device Evaluated by Manufacturer? Yes
Date Device Manufactured01/16/2017
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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