FDA Adverse Event Malfunction Summary report: N

SILICONE ADVANCED OPTIC-VIOLET SHIELD

MDR report key: 1052767 · Received May 23, 2008

Report

Report Number
1920664-2008-00591
Event Type
Malfunction
Date Received
May 23, 2008
Date of Event
April 16, 2008
Report Date
April 29, 2008
Manufacturer
BAUSCH & LOMB, INC.
Product Code
HQL
PMA / PMN Number
P910061
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
OR, US
Reporter Occupation
UNKNOWN

Narratives

Description of Event or Problem · 1

THE HAPTIC KINKED DURING THE LOADING OF THE LENS IN THE DELIVERY DEVICE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 SILICONE ADVANCED OPTIC-VIOLET SHIELD INTRAOCULAR LENS HQL BAUSCH & LOMB, INC.

Patients

Seq Age Sex Outcome Treatment
1