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U.S. Department of Health and Human Services

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

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AMO PUERTO RICO MFG. INC. TECNIS IOL; INTRAOCULAR LENS Back to Search Results
Model Number DXW150
Medical Device Problem Code Adverse Event Without Identified Device or Use Problem (2993)
Health Effect - Clinical Code Blurred Vision (2137)
Date of Event 02/19/2026
Type of Reportable Event Serious Injury
Additional Manufacturer Narrative
Section h3: the device was not returned for evaluation; therefore, a failure analysis of the complaint device cannot be completed.A review of records including device history and complaint trending will be performed.Upon completion of the review, if there is any further relevant information 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.
 
Event or Problem Description
It was reported that a patient experienced blurry distance and near vision following the full implantation of a single-piece preloaded toric edof intraocular lens (iol) in the patient¿s right eye.The original lens was subsequently explanted during a secondary surgery on the same day.Preoperative best-corrected visual acuity (bscva) was 20/20, and postoperative bscva remained 20/20.Daily activities were not affected.No unplanned surgical interventions, such as incision enlargement, sutures, or vitrectomy, were required.No medications outside the standard of care were prescribed, and no surgical delays were reported.The directions for use were followed.The patient experienced temporary bilateral visual impairment.Additional information was received on the patient's right eye.The device was reported to have caused or contributed to the event, and the patient was noted to be under-corrected with no loss of two or more lines of best spectacle corrected visual acuity and no overcorrection.The pre-operative refraction was +0.25 -1.00 x 130 with a post-operative refraction of +0.75 sphere and an intended target refraction of plano.A pre-existing condition affecting calculation was lasik.The original iol was replaced by a preloaded extended depth of focus intraocular lens with a diopter of +21.However, post-operative refraction after the lens exchange had not yet been measured.No further information was provided.
 
Additional Manufacturer Narrative
The product was received for evaluation.Device evaluation: visual inspection revealed that the lens was cut into three pieces.The lens was cleaned and visually inspected revealing no further issues or that could cause or contribute to the complaint issues reported were identified during product evaluation.The lens cut observed during product evaluation could not be confirmed to be related to the manufacturing or design process.Conclusion: based on the complaint investigation results, the product was released within specifications.The complaint issue reported could not be confirmed and no product deficiency or product malfunction could be identified.The following fields were updated accordingly: section d9: device available for evaluation? yes.Section d9: date returned to manufacturer: mar 18, 2026.Section h3: device evaluated by manufacturer: yes.All pertinent information available to johnson & johnson surgical vision, inc.Has been submitted.
 
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Brand Name
TECNIS IOL
Common Device Name
INTRAOCULAR LENS
Manufacturer (Section D)
AMO PUERTO RICO MFG. INC.
road 402 north, anasco ind. pk
anasco PR 00610
Manufacturer Contact
somyata nagpal
road 402 north, anasco ind. pk
anasco 00610
7142478552
MDR Report Key24742009
Report Number3012236936-2026-000074
Device Sequence Number19693923
Product Code HQL
UDI-Device Identifier05050474762978
UDI-Public(01)05050474762978(17)260813
Combination Product (Y/N)N
Initial Reporter StateOK
Initial Reporter CountryUS
PMA/510(K) Number
P980040
Number of Events Summarized1
Summary Report (Y/N)N
Device Implanted Year2026
Device Explanted Year2026
Serviced by Third Party (Y/N)Unknown
Reporter Type Manufacturer
Report Source Health Professional,User Facility
Initial Reporter Occupation Physician
Type of Report Initial,Followup
Report Date (Section B) 04/28/2026
1 Device was Involved in the Event
1 Patient was Involved in the Event
Is this an Adverse Event Report? Yes
Is this a Product Problem Report? No
Operator of Device Health Professional
Device Model NumberDXW150
Device Catalogue NumberDXW150U200
Was Device Available for Evaluation? Device Returned to Manufacturer
Is the Reporter a Health Professional? Yes
Was the Report Sent to FDA? No
Type of Report(Section G)Thirty-Day
Initial Date Received by Manufacturer 03/03/2026
Supplement Date Received by Manufacturer04/06/2026
Initial Report FDA Received Date03/31/2026
Supplement Report FDA Received Date04/27/2026
Was Device Evaluated by Manufacturer? (Y/N) Yes
Date Device Manufactured08/13/2023
Is the Device Labeled for Single Use? (Y/N) Yes
Is This a Single-Use Device that was
Reprocessed and Reused on a Patient? (Y/N)
No
Usage of Device Initial
Patient Sequence Number1
Outcome Attributed to Adverse Event Required Intervention;
Patient Age49 YR
Patient SexMale
Patient EthnicityNon Hispanic
Patient RaceWhite
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