MAUDE Adverse Event Report: ABBOTT MEDICAL OPTICS TECNIS 1 MULTIFOCAL; MULTIFOCAL IOLS

Model Number	ZMB00
Medical Device Problem Code	Adverse Event Without Identified Device or Use Problem (2993)
Health Effect - Clinical Codes	Inflammation (1932); Pain (1994); Red Eye(s) (2038); No Code Available (3191)
Date of Event	06/23/2016
Type of Reportable Event	Serious Injury
Additional Manufacturer Narrative
If explanted, give date: not applicable, as the lens remains implanted.1mtec30 cartridge - platinum i inserter - unknown serial#.Patient code - (b)(4) toxic anterior segment syndrome (tass) device evaluation the device was not returned to the manufacturer for evaluation.Visual inspection could not be performed, therefore the reported complaint could not be verified.Manufacturing records were reviewed and the lens was manufactured according to specification.The complaint history search revealed no other complaints for this production order number has been received.The directions for use (dfu) was reviewed.The dfu adequately provides instructions and precautions for the proper use and handling of the intraocular lenses.Based on the investigation results there is no indication of a product quality deficiency.All pertinent information available to abbott medical optics has been submitted.
Event or Problem Description
It was reported that a female patient presented with toxic anterior segment syndrome (tass) after implantation of a model zmb00 17.0 diopter intraocular lens (iol) into the left eye.First day post-op inflamed, referred to an ophthalmic specialist.The iol remains implanted.Visual acuity in the left eye is 20/40 uncorrected and 20/25-2 corrected.The patient's current status is indicated as recovered.
Additional Manufacturer Narrative
Additional information: through follow up the customer reported that they do not believe that these cases were true toxic anterior segment syndrome (tass) cases.The surgeon lost his confidence in the scrub tech and thought he had not washed the instruments properly.Furthermore, the tech had not processed any of the trays used on the tass cases.Initially 4 cases were reported, 3 of the 4 cases have been resolved.The 3 that resolved were treated with routine cataract post op drops.However, the 4th tass case presented to the office with an inflamed eye, red, tender, and painful.Intraocular ac (anterior chamber) tap for culture was performed which resulted with no growth after 3 days.Intraocular vancomycin was administered in office.The patient was treated with prolensa, vigamox, lotamax and timolol drops and diamox.The dosage and frequency of the medication were adjusted as the patient improved.After the 90 day implant survey, no residual problems were observed.The physician had no concerns regarding the amo products.There was no serial number or other identifying information provided in order to confirm which amo product was used on the 4th patient.Therefore, this follow-up information is being reported on follow-up reports for the 4 cases initially reported.The 3 other reported cases are captured in mdr numbers: 9614546-2016-00579, 9614546-2016-00576, 9614546-2016-00580.(b)(4).Device evaluation the device was not returned to the manufacturer for evaluation.Device inspection could not be performed therefore the reported complaint could not be verified.Manufacturing records were reviewed and the lens was manufactured according to specification.Review of the sterilization records show there were no non conformances with respect to the sterilization process.The product was manufactured according to specification.A search on complaints revealed no similar complaints were received for this order number to date.Review of the sterilization records show there were no non conformances with respect to the sterilization process.The directions for use (dfu) was reviewed.The dfu adequately provides instructions and precautions for the proper use and handling of the intraocular lenses.Based on the investigation results there is no indication of a product quality deficiency.All pertinent information available to abbott medical optics has been submitted.

• Brand Name: TECNIS 1 MULTIFOCAL
• Common Device Name: MULTIFOCAL IOLS
• Manufacturer (Section D): ABBOTT MEDICAL OPTICS; santa ana CA
• MDR Report Key: 6088281
• Report Number: 2648035-2016-01786
• Device Sequence Number: 363523
• Product Code: MFK
• UDI-Device Identifier: 05050474535596
• UDI-Public: (01)05050474535596(17)190116
• Combination Product (Y/N): N
• Initial Reporter State: FL
• Initial Reporter Country: US
• PMA/510(K) Number: P980040
• Number of Events Summarized: 1
• Summary Report (Y/N): N
• Device Implanted Year: 2016
• Reporter Type: Manufacturer
• Report Source: health professional,user faci
• Initial Reporter Occupation: Physician
• Type of Report: Initial,Followup
• Report Date (Section B): 12/07/2016

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: Physician
• Device Expiration Date: 01/16/2019
• Device Model Number: ZMB00
• Device Catalogue Number: ZMB00U0185
• Was Device Available for Evaluation?: No
• Type of Report(Section G): FDA Requested
• Initial Date Received by Manufacturer: 10/12/2016
• Supplement Date Received by Manufacturer: Not provided
• Initial Report FDA Received Date: 11/08/2016
• Supplement Report FDA Received Date: 12/07/2016
• Is This a Single-Use Device that was Reprocessed and Reused on a Patient? (Y/N): No
• Patient Sequence Number: 1
• Outcome Attributed to Adverse Event: Other; Required Intervention
• Patient Age: 73 YR