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 |