MAUDE Adverse Event Report: JOHNSON & JOHNSON SURGICAL VISION, INC. TECNIS SYMFONY TORIC; MULTIFOCAL IOLS

Model Number	ZXT300
Medical Device Problem Code	Adverse Event Without Identified Device or Use Problem (2993)
Health Effect - Clinical Codes	Blurred Vision (2137); No Code Available (3191)
Type of Reportable Event	Serious Injury
Additional Manufacturer Narrative
Age/date of birth: unknown, information not provided.Date of event: unknown, information not provided.If explanted, give date: not applicable as the lens has not been explanted.(b)(4).Device evaluation: the product was not returned to the manufacturing site.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 product was reviewed.The product was manufactured and released according to specification.A search on complaints revealed that no similar / other complaints have been received for this production order number.Conclusion: 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 johnson & johnson surgical vision, inc.Has been submitted.
Event or Problem Description
It was reported that a zxt300 26.0 diopter lens was the second jnj iol implanted in the patient¿s left eye.The patient is experiencing blurry vision since she cannot read close-up.She feels this is affecting her daily life.Consequently, she will have to wear contact lenses.At the time of this call no additional procedures had been planned or scheduled.Per the patient, the doctor suggested surgery, but the patient is not considering any more surgeries.Via follow-up it was learned that the doctor prescribed contact lenses.However, she has more astigmatism than the doctor expected and the contact lenses did not help her vision.Reportedly, the doctor said they will have to try toric hard contact lenses to fix her astigmatism.Additionally, the patient reported that her doctor only tested her pre-surgery with contact lenses on.She provided the following pre and post vision outcome.Pre-surgery vision with contacts: left eye: 20/50 +2, right eye: 20/30 -2.Post-surgery left eye: l 21/50 +2 (without contacts) note:patient likely meant 20/50, but her vision was blurry so the iol was explanted.Second lens information for the left eye-this report.Second lens for the left eye ''soon after surgery'': left: 20/50+2 without contacts.Second lens for the left eye ''a few weeks ago''.Left: 20/50 without contacts.Right eye information also ''a few weeks ago.'' right: 20/60 without contacts.No further information was provided.The explanted lens (first lens) for the left eye is reported in manufacturer report number 9614546-2019-00190.
Additional Manufacturer Narrative
This correction mdr is being submitted to address inaccurate information in section f on the xml version of the previous submission caused by a software glitch in the transmission process.The internal non-conformance numbers for this software issue are nr-0148919 and capa: 010215.

• Brand Name: TECNIS SYMFONY TORIC
• Common Device Name: MULTIFOCAL IOLS
• Manufacturer (Section D): JOHNSON & JOHNSON SURGICAL VISION, INC.; 1700 e st andrew place; santa ana CA 92705
• MDR Report Key: 8820242
• Report Number: 9614546-2019-00643
• Device Sequence Number: 3109462
• Product Code: POE
• UDI-Device Identifier: 05050474606500
• UDI-Public: (01)05050474606500(17)220602
• Combination Product (Y/N): Y
• Initial Reporter Country: US
• PMA/510(K) Number: P980040
• Number of Events Summarized: 1
• Summary Report (Y/N): N
• Device Implanted Year: 2019
• Reporter Type: Manufacturer
• Report Source: consumer
• Initial Reporter Occupation: Other
• Type of Report: Initial,Followup
• Report Date (Section B): 11/12/2020
• Report Date (Section F): 01/01/2005

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 Expiration Date: 06/02/2022
• Device Model Number: ZXT300
• Device Catalogue Number: ZXT300U260
• Was Device Available for Evaluation?: No
• Was the Report Sent to FDA?: No
• Date Report to Manufacturer: 01/10/2005
• Initial Date Received by Manufacturer: 06/24/2019
• Supplement Date Received by Manufacturer: 10/25/2020
• Initial Report FDA Received Date: 07/24/2019
• Supplement Report FDA Received Date: 11/13/2020
• 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
• Date Report Sent to FDA: 01/01/2005