Manufacturing : Plot no 31, PHASE-I, SIPCOT Industrial Complex, Hosur – 635126, INDIA, Mfg. Lic. No.: TN00002315, E-mail: info@freedomophthalmic.com, Ph: 04344-314092, (+91) 9585599301 electronic INSTRUCTIONS FOR USE (eIFU) EU Representative: BEMEDIS e.k., Breitewiesen 4, 75210 Keltern, Germany, Email: bemedis@t-online.de Brand Name Generic Name MODELS FREEDOM ZEN YELLOW HYDROPHOBIC ACRYLIC FOLDABLE ASPHERIC INTRAOCULAR LENS FPC 553Y, FPC 552Y, FPC 573Y, FPC 572Y, FPC 603Y,FPC 602Y, FPL 553Y, FPL 552Y, FPL 573Y, FPL 572Y, FPL 603Y,FPL 602Y, FPCV 553Y, FPCV 552Y, FPCV573Y, FPCV 572Y, FPCV 603Y,FPCV 602Y FPLV 553Y, FPLV 552Y, FPLV573Y, FPLV 572Y, FPLV 603Y,FPLV 602Y UV-ABSORBING POSTERIOR AND ANTERIOR CHAMBER INTERAOCULAR LENSES Device Description The Hydrophobic intraocular Lenses manufactured by freedom ophthalmic implants for the human crystalline lens in the visual correction of aphakia in patient 5 years of age or older. The IOL comprises of two parts –the central clear optic (which acts as visual zone) and the peripheral haptic (which helps in lens anchorage). The IOLs are lathe cut and tumbled polished from clinical grade copolymer of phenyl ethyl acrylate. To allow the surgeons flexibility in meeting individual patient requirements, several distinct types of lenses are available from +5.0to +30.0 diopters. In 0.50 increments.The labeled dioptric power of the lens is aqueous. The IOLs are supplied sterile. The inner package is terminally sterilized and should be opened only under sterile conditions. International Sales: Freedom Ophthalmic Inc., 5113, Brockworth Drive, Mississauga, ON - L5V1S1, CANADA, Tel: 905-858-0642 Fax: 905-858-3539, E-mail: sales@freedomophthalmic.com FO-895/R03 Page 1 Manufacturing : Plot no 31, PHASE-I, SIPCOT Industrial Complex, Hosur – 635126, INDIA, Mfg. Lic. No.: TN00002315, E-mail: info@freedomophthalmic.com, Ph: 04344-314092, (+91) 9585599301 Mode of Action When implanted the IOL functions as a refracting medium to replace the natural lens in visual correction of Aphakia. The IOL can be placed in posterior chamber. The following indications and contra inductions are based on research of medical literature and are to be used only as guides. The list is indicative and not be viewed as complete or comprehensive. Indications : : : : : Monocular cataract Mature cataract Congenital cataract Occupational Needs Traumatic cataract Contraindications The following are relative circumstances where the physician should consider whether implanting an intraocular lens does not create undue risk. Surgeons should explore the use of alternative methods of Aphakic correction and consider lens implantation only if alternative are deemed unsatisfactory to meet the needs of the patient. Chronic severe Uvelitis, Epithelial Dystrophy, Rubella Cataract, Massive vitreous loss, In cataracts present in children Concomitant severe Eye Disease, Glaucoma problem, Choroidal Hemorrhage, Microphthalmos, Anirida, Warnings 1. The effectiveness of UV-absorbing intraocular lenses in reducing the incidence of retinal disorders has not been established. 2. The safety of the use of the Neodymium-YAG laser on IOLs with UV absorbing materials has not been established, the physicians is urged to use extreme caution in such cases where a patient with UV absorbing IOLs is treated with a Neodymium- YAG laser 3. The compression force exerted on the eye tissue by the lens is not established. The physician should have knowledge in selecting type of the lens depending on the eye dimensions. 4. In the bag lenses should be used only when posterior capsule is in good condition. 5. Care should be taken to avoid breakage of haptic while injecting and inserting lens through the Scleral tunnel or small incision International Sales: Freedom Ophthalmic Inc., 5113, Brockworth Drive, Mississauga, ON - L5V1S1, CANADA, Tel: 905-858-0642 Fax: 905-858-3539, E-mail: sales@freedomophthalmic.com FO-895/R03 Page 2 Manufacturing : Plot no 31, PHASE-I, SIPCOT Industrial Complex, Hosur – 635126, INDIA, Mfg. Lic. No.: TN00002315, E-mail: info@freedomophthalmic.com, Ph: 04344-314092, (+91) 9585599301 Precautions 1. Do not store the lens in direct sunlight or at a temperature greater than 40˚C. Keep away from freezing. 2. Do not use if sterile pouch is opened or damaged. 3. Only skilled Surgeons with experience in either viewing and/or assisting numerous surgical implantations and successfully completed at least a course on IOL implantation should attempt implantation of these lenses. 4. Pouch should be opened only under sterile conditions. 5. Do not soak or rinse lens is solutions other than sterile balanced salt solution or equivalent . 6. Use injectors supplied by Freedom ophthalmic for implanting foldable IOL’s to minimize surgical trauma and immediate postoperative inflammations. 7. Do not attempt to re-sterilize this lens. 8. Handle the lens carefully, Locking forceps or needle holders should never be used to pick up lenses. 9. The temporary opaqueness occurs in the hydrate polymer when it is changed from an equilibrated temperature of 18° to 35° the opaqueness is temporary (30 to 60 minutes) and there no chemical, mechanical, or geometric change to the polymer. After equilibration at physiologic temperature (30 to 60 minutes) opaqueness disappear. in order to avoid temporary opaqueness at the time of implantation, the only current method recommended is to keep the IOL at 25°C or higher prior to implantation for minimum of 60 minutes. 10. Do on use the lens if it is accidently dropped. Direction for use To avoid breakage do not attempt to pull the hap tics out of the plane of the lens or twist or torque the lens 1. Prior to implantation examine the lens package for IOL type, power ,proper configuration and expiration date. 2. In a sterile environment, peel apart to open the pouch and remove the lens case 3. Lenses stored in cold conditions need to be slightly warmed by placing the lens along with its package on a hot surface (not more then 30°C ) for few seconds. Peel off tyvek sheet from blister type packing with care, grasp and lift the lens optic using smooth edged forceps. 1. Soak or rinse lens is balanced salt solution or sterile normal saline solution to clear of the static charges that might have developed on the lens surface. International Sales: Freedom Ophthalmic Inc., 5113, Brockworth Drive, Mississauga, ON - L5V1S1, CANADA, Tel: 905-858-0642 Fax: 905-858-3539, E-mail: sales@freedomophthalmic.com FO-895/R03 Page 3 Manufacturing : Plot no 31, PHASE-I, SIPCOT Industrial Complex, Hosur – 635126, INDIA, Mfg. Lic. No.: TN00002315, E-mail: info@freedomophthalmic.com, Ph: 04344-314092, (+91) 9585599301 2. Examine the lens thoroughly to ensure that there are not particles adhered to the surface of the lens. 3. If the forceps are used to implant the lens, viscoelastic should be applied to both sides of the IOL optic, Before folding and the comprehensive force on the lens should be minimized to reduce the potential of the lens to adhere to it or to the instruments. 4. If forceps are used to implant to the lens, ensure that the forceps does not come in contact with the central portion of the lens optic, as permanent forceps marks can be formed on the visual axis. 5. Carton box contains extra labels. These are for convenience in maintaining and reporting records of implantable lenses during clinical investigation. One of the labels can be affixed to the patient’s case sheet for future reference. ‘A’ Constant ‘A’ Constant value is estimate only. It is recommended that the Surgeon derives his own value based on his clinical experience. package The lens is supplied in a sterile package . validity of sterilization applies as long as the seated inner peel-pouch is not disturbed or damaged. Any damage to the peel pouch or any accidental opening of peel-pouch is to be declared as ” NOT STERILE”. REPORTING Adverse reactions and potentially sight threatening complication that may reasonably be regarded as lens related and that were not previously expected in nature severity or degree of incidence should be reported to FREEDOM OPHTHALMIC PVT.LTD. This information is requested from the all implanting surgeons in order to document potentially long term effects of IOL implants. PATIENT IDENTITY CARD The packing contains product identification sticker for maintaining a record of the IOL implantation. Surgeons are requested to give the ” patient ID card “ to the patients after implantation and advise them to carry the card at all times. RETURN GOODS POLICY FREEDOM OPHTHALMIC PVT.LTD., accepts returned lenses for exchanges only. No cash refunds will be issued. To return lenses, contact your local distributor or the company directly. Lenses will be replaced as long as they are returned within six months of their original invoice date. International Sales: Freedom Ophthalmic Inc., 5113, Brockworth Drive, Mississauga, ON - L5V1S1, CANADA, Tel: 905-858-0642 Fax: 905-858-3539, E-mail: sales@freedomophthalmic.com FO-895/R03 Page 4 Manufacturing : Plot no 31, PHASE-I, SIPCOT Industrial Complex, Hosur – 635126, INDIA, Mfg. Lic. No.: TN00002315, E-mail: info@freedomophthalmic.com, Ph: 04344-314092, (+91) 9585599301 DISPOSING OF NON STERILE OR CONTAMINATED MEDICAL DIVICES There are not specific guidelines for disposing of non sterile or contaminated medical devices. Follow standard procedures for discarding outdated or contaminated products. Symbols Used On Labeling Sterilized by Ethyle oxide Do not reuse Store in Dry place Lot Number / Batch number Do not re-sterilize the IOLs Date of Manufacturing Do not use if the pouch is opened CE mark, Notified Body identify number Attention, see instruction for use European Representative Keep away from sunlight Manufacturer Temperature limitation 0°- 40° C Use by (YYYY-MM: Year-month) International Sales: Freedom Ophthalmic Inc., 5113, Brockworth Drive, Mississauga, ON - L5V1S1, CANADA, Tel: 905-858-0642 Fax: 905-858-3539, E-mail: sales@freedomophthalmic.com FO-895/R03 Page 5