TECNIS 1 MULTIFOCAL ZLB00 ZLB00U0160

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a health professional,user faci report with the FDA on 2020-03-04 for TECNIS 1 MULTIFOCAL ZLB00 ZLB00U0160 manufactured by Johnson & Johnson Surgical Vision, Inc..

Event Text Entries

[186752228] (b)(4). Device evaluation: the product was returned to the manufacturing site wrapped in medical dressing placed inside a biohazard resealable bag. A visual inspection with the unaided eye revealed the lens was returned in one piece with lint fibers on surface. Lens was cleaned with purified water and dried with compressed air to ease inspection. Further inspection under 12x magnification revealed fiber and residue remains visible on iol surface. Scratches and abrasions were visible on lens surface. None of these cosmetic issues will impact the mechanical behavior of the lens. The complaint issue reported was not verified. Manufacturing records review: the manufacturing records for the product were reviewed. The product was manufactured and released according to specification. Historical data analysis: a search of complaints revealed no other complaints have been received for this production order. Conclusion: as a result of the investigation there is no indication of a quality product deficiency and the reported issue could not be verified. All pertinent information available to johnson & johnson surgical vision, inc. Has been submitted.
Patient Sequence No: 1, Text Type: N, H10


[186752229] It was reported that a zlb00 intraocular lens (iol) was implanted in the patient's right (od) eye on (b)(6) 2018. It was later explanted on (b)(6) 2019 due to mechanical failure. At 1 week postop, patient reported symptoms of cloudy, fuzzy, blurred vision at distance and near, and glare with night driving. A refraction was performed and the symptoms could not be resolved with prescription lenses. The patient was not adapting to the multifocal implant. Pre-ops best corrected visual acuity (bcva) was 20/40 at distance and j2 at near, bat glare testing 20/400. Post-ops bcva is 20/30 distance vision and j1 near vision. Reportedly, the patient's vision is great now. No further information was provided.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number9614546-2020-00098
MDR Report Key9785078
Report SourceHEALTH PROFESSIONAL,USER FACI
Date Received2020-03-04
Date of Report2020-03-16
Date of Event2018-12-26
Report Date2005-01-01
Date Reported to FDA2005-01-01
Date Reported to Mfgr2005-01-10
Date Mfgr Received2020-03-05
Date Added to Maude2020-03-04
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Manufacturer ContactSOMYATA NAGPAL
Manufacturer Street1700 EAST ST. ANDREW PLACE
Manufacturer CitySANTA ANA CA 92705
Manufacturer CountryUS
Manufacturer Postal92705
Manufacturer Phone7142478200
Manufacturer G1JOHNSON & JOHNSON SURGICAL VISION, INC.
Manufacturer StreetLOT H.S (D) 70252, PT 2489 JALAN HI TECH 11, INDUSTRIAL Z
Manufacturer CityKULIM HI TECH PARK 09000
Manufacturer CountryMY
Manufacturer Postal Code09000
Single Use0
Previous Use Code0
Event Type3
Type of Report3

Device Sequence Number: 1

Brand NameTECNIS 1 MULTIFOCAL
Generic NameMULTIFOCAL IOLS
Product CodeMFK
Date Received2020-03-04
Returned To Mfg2020-01-07
Model NumberZLB00
Catalog NumberZLB00U0160
OperatorHEALTH PROFESSIONAL
Device AvailabilityR
Device AgeDA
Device Sequence No1
Device Event Key0
ManufacturerJOHNSON & JOHNSON SURGICAL VISION, INC.
Manufacturer Address1700 E ST ANDREW PLACE SANTA ANA CA 92705 US 92705

Device Sequence Number: 101

Product Code---
Date Received2020-03-04
Device Sequence No101
Device Event Key0


Patients

Patient NumberTreatmentOutcomeDate
101. Required No Informationntervention 2020-03-04

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