TECNIS SYMFONY TORIC ZXT375

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a company representative,health report with the FDA on 2020-03-05 for TECNIS SYMFONY TORIC ZXT375 manufactured by Johnson & Johnson Surgical Vision, Inc..

Event Text Entries

[188270976] Age/date of birth: unknown/ not provided. Common device name: unknown, information not provided. Model# and partial catalog#: unknown, as serial number was not provided. Serial number: unknown, information not provided. Unique device identifier (udi #): unknown, as serial number was not provided. Expiration date: unknown, as serial number was not provided. Device manufacture date: unknown as serial number was not provided. If explanted; give date: n/a (not applicable). Lens remains implanted. Device evaluation: the product was not returned as it remains implanted; therefore, the complaint issue reported was not verified. Manufacturing records review: the manufacturing record cannot be reviewed since the serial number is unknown. Historical data analysis: the complaint history was not reviewed since the serial number is unknown. 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


[188270977] The customer account reported of an uneventful with the zxt375 intraocular lens (iol) that was implanted in the patient's operative eye on (b)(6) 2020. At 1 day post-op, the lens was well aligned. Patient's vision screening 20/50. Patient returned for 1 week post-op visit and complaining of triple vision. The lens is perfect but looks to be rotated about 30 degrees counter clockwise from original location. Patient reported shield shifted one night when he was sleeping with operative eye in pillow. The surgeon thinks shield pressed on paracentesis site causing lens to shift. Left eye lens zxt375 +15. 5 d at an axis of 166. Axial length: 24. 96. K os flat: 44. 00@74. K os steep: 46. 50 @ 164. Sia 0. 20 @ 90. Immersion. A constant: 119. 3. There is no plan for lens exchange at this time. No further information provided.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number9614546-2020-00105
MDR Report Key9792648
Report SourceCOMPANY REPRESENTATIVE,HEALTH
Date Received2020-03-05
Date of Report2020-03-05
Date of Event2020-02-07
Report Date2005-01-01
Date Reported to FDA2005-01-01
Date Reported to Mfgr2005-01-10
Date Mfgr Received2020-02-12
Date Added to Maude2020-03-05
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 StreetVAN SWIETENLAAN 5
Manufacturer CityGRONINGEN 9728NX
Manufacturer CountryNL
Manufacturer Postal Code9728 NX
Single Use0
Previous Use Code0
Event Type3
Type of Report3

Device Sequence Number: 1

Brand NameTECNIS SYMFONY TORIC
Generic NameMULTIFOCAL IOLS
Product CodePOE
Date Received2020-03-05
Model NumberZXT375
OperatorHEALTH PROFESSIONAL
Device AvailabilityN
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 Received2020-03-05
Device Sequence No101
Device Event Key0


Patients

Patient NumberTreatmentOutcomeDate
101. Other 2020-03-05

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