FDA Adverse Event Malfunction Summary report: N

SILICONE ADVANCED OPTIC-VIOLET SHIELD

MDR report key: 1060803 · Received June 12, 2008

Report

Report Number
1920664-2008-00642
Event Type
Malfunction
Date Received
June 12, 2008
Date of Event
May 14, 2008
Report Date
May 16, 2008
Manufacturer
BAUSCH & LOMB, INC.
Product Code
HQL
PMA / PMN Number
P910061
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
GA, US
Reporter Occupation
UNKNOWN

Narratives

Description of Event or Problem · 1

THE HAPTIC BROKE WHILE LOADING THE LENS IN THE DELIVERY DEVICE DURING SET-UP.

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