FDA Adverse Event Injury Summary report: N

SOFTEC HDO

MDR report key: 10392067 · Received August 11, 2020

Report

Report Number
9613160-2020-00017
Event Type
Injury
Date Received
August 11, 2020
Date of Event
April 16, 2014
Report Date
May 13, 2020
Manufacturer
LENSTEC BARBADOS, INC.
Product Code
HQL
PMA / PMN Number
P090022
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
US
Reporter Occupation
OTHER

Narratives

Description of Event or Problem · 1

ON THE (B)(6) 2014, LENSTEC (BARBADOS) INC RECEIVED VIA EMAIL, A NOTIFICATION THAT LENSES WERE BEING RETURNED VIA THE RETURNS AUTHORIZATION NUMBER 1184. THE LENSES IN QUESTION CARRIED THE NOTATION "CARTRIDGE DEFECTIVE". NO FURTHER INFORMATION REGARDING THE LOT NUMBER FOR THE CARTRIDGE, IF THERE WAS ANY PATIENT INJURY, OR IF ANOTHER LENS WAS SUCCESSFULLY IMPLANTED WAS PROVIDED. THE LENSES WERE RECEIVED AT LENSTEC (BARBADOS) INC ON THE (B)(6) 2014.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
855891 SOFTEC HDO INTRAOCULAR LENS HQL LENSTEC BARBADOS, INC. 133827

Patients

Seq Age Sex Outcome Treatment
1