FDA Adverse Event Injury Summary report: N

ACRYSOF

MDR report key: 1002280 · Received February 22, 2008

Report

Report Number
1119421-2008-00085
Event Type
Injury
Date Received
February 22, 2008
Date of Event
December 7, 2007
Report Date
January 23, 2008
Manufacturer
ALCON RESEARCH, LTD. / HUNTINGTON
Product Code
HQL
PMA / PMN Number
P930014
Removal / Correction Number
NA
Adverse Event
Yes
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
FR
Reporter Occupation
UNKNOWN

Narratives

Additional Manufacturer Narrative · 1

THE PRODUCT WAS NOT RETURNED FOR ANALYSIS. RESULTS FROM THE PRODUCT HISTORY RECORD REVIEW INDICATED THE PRODUCT MET RELEASE CRITERIA. THERE ARE NO OTHER REPORTS IN THE LOT. ADD'L INFO WAS REQUESTED. ADD'L INFO WAS RECEIVED ON 02/04/2008 AND 02/06/2008.

Description of Event or Problem · 1

A SURGEON REPORTS, THAT DURING INTRAOCULAR LENS (IOL) IMPLANT SURGERY, HE NOTICED ONE HAPTIC HAD DETACHED FROM THE OPTIC. THE LENS WAS CUT INTO TWO PIECES AND REMOVED. DURING THE PROCESS, A CAPSULAR TEAR OCCURRED. A NEW LENS WAS IMPLANTED WITHOUT DIFFICULTY DURING THE SAME PROCEDURE. THE SURGEON REPORTS THAT THE PT IS DOING WELL.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 ACRYSOF INTRAOCULAR LENS HQL ALCON RESEARCH, LTD. / HUNTINGTON MA50BM 10722821

Patients

Seq Age Sex Outcome Treatment
1 UNK YR Required Intervention VISCOELASTIC