MAUDE MDR 1469110

MDR report key
1469110
Report number
9615030-2009-00001
Event key
0
Event type
3
Date of event
2009-02-19
Date received
2009-08-26
Adverse event
3
Product problem
3
Patients in event
0
Reporter occupation
100
Health professional
3
Initial report to FDA
3
Event location
0

Manufacturer Contact#

Contact
JUDY BRIMACOMBE
Address
5160 HACIENDA DR DUBLIN CA 94568 US
Phone
925-925-9255
Report source
M
Manufacturer link flag
Y

Devices#

Seq, Brand, Generic table
SeqBrandGenericManufacturerProduct codeModelCatalogLotPMA510(k)ImplantEvaluatedAvailability
1IOLMASTERSLITLAMP, BIOMICROSCOPECARL ZEISS MEDITEC AGHJOIOL5-12Y Y

Patients#

Sequence, Received, Treatment table
SequenceReceivedTreatmentOutcome
12009-08-2601. R

Event Narratives#

D

Patient 1

A PT REQUIRED ADD'L SURGERY TO REMOVE A PREVIOUSLY IMPLANTED INTRAOCULAR LENS AND TO IMPLANT A DIFFERENT INTRAOCULAR LENS.

N

Patient 1

THE IOLMASTER WAS INSPECTED BY A SERVICE TECHNICIAN AND FOUND TO BE OPERATING PROPERLY AND WITHIN CALIBRATION. THE IMPLANTATION OF THE WRONG INTRAOCULAR LENS IN THE LEFT EYE COULD HAVE POTENTIALLY BEEN CAUSED BY AN INTRAOCULAR EYE PRESSURE EXAMINATION WITH A CONTACT TONOMETER PRIOR TO THE IOLMASTER MEASUREMENT. USE OF A CONTACT TONOMETER COMPRESSES THE CORNEA OF THE EYE AND MAY IMPACT THE RESULTS OF THE EYE'S BIOMETRIC MEASUREMENTS. IOLMASTER USER MANUAL PROVIDES INSTRUCTIONS REGARDING CONTACT MEASUREMENTS PRIOR TO MEASURING THE EYES WITH IOLMASTER. THE SITE'S PERSONNEL WERE INSTRUCTED IN PROPER OPERATION BY A CLINICAL APPLICATION SPECIALIST.