FDA Adverse Event
Injury
Summary report: N
ACRYSOF
MDR report key: 1051639
·
Received May 21, 2008
Report
- Report Number
- 1119421-2008-00365
- Event Type
- Injury
- Date Received
- May 21, 2008
- Date of Event
- February 2, 2004
- Report Date
- April 21, 2008
- Manufacturer
- ALCON RESEARCH LTD. / HUNTINGTON
- Product Code
- HQL
- PMA / PMN Number
- P930014
- Removal / Correction Number
- NA
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- TX, US
- 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 HAVE BEEN NO OTHER COMPLAINTS REPORTED IN THE LOT NUMBER. ADDITIONAL INFORMATION WAS REQUESTED.
Description of Event or Problem · 1
AN ATTORNEY'S OFFICE PROVIDED MEDICAL RECORDS REGARDING A CONSUMER'S INTRAOCULAR LENS (IOL) REMOVAL. THE REMOVAL WAS DUE TO THE IOL BEING SCARRED TO THE OLD DONOR CORNEA DURING A NEW CORNEAL GRAFT TRANSPLANT SURGERY. THIS WAS THE PATIENT'S SECOND CORNEAL TRANSPLANT ON THE SAME EYE (OS). THERE ARE THREE MEDICAL DEVICE REPORTS ASSOCIATED WITH THIS ATTORNEY'S REPORT FOR THE DIFFERENT IOL'S USED IN THIS CONSUMER'S LEFT EYE.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | ACRYSOF | INTRAOCULAR LENS | HQL | ALCON RESEARCH LTD. / HUNTINGTON | MA60AC | 716366 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 49 YR | Required Intervention |