FDA Adverse Event Other Summary report: N

ACRYSOF

MDR report key: 1083556 · Received July 25, 2008

Report

Report Number
1119421-2008-00560
Event Type
Other
Date Received
July 25, 2008
Date of Event
January 1, 2008
Report Date
June 25, 2008
Manufacturer
ALCON RESEARCH , LTD./HUNTINGTON
Product Code
HQL
PMA / PMN Number
P930014
Removal / Correction Number
NA
Adverse Event
Yes
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
JA
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

THE PRODUCT WAS NOT RETURNED FOR ANALYSIS. THE DEVICE REMAINS IMPLANTED. PRODUCT HISTORY RECORDS COULD NOT BE REVIEWED BECAUSE THE REPORTING FACILITY DID NOT PROVIDE A LOT NUMBER OR ANY IDENTIFICATION TRACEABLE TO THE MANUFACTURING DOCUMENTATION. ADDITIONAL INFORMATION HAS BEEN REQUESTED. NO ADDITIONAL INFORMATION HAS BEEN RECEIVED.

Description of Event or Problem · 1

A SURGEON REPORTED A PATIENT'S EYESIGHT DECREASED FROM 0.6 TO 0.3 APPROXIMATELY FIVE YEARS FOLLOWING INTRAOCULAR LENS (IOL) IMPLANT SURGERY. THE SURGEON REPORTED, "SOMETHING LIKE GLISTENINGS" WAS OBSERVED IN THE LENS UNDER SLIT LAMP OBSERVATION. ADDITIONAL INFORMATION HAS BEEN REQUESTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 ACRYSOF INTRAOCULAR LENS HQL ALCON RESEARCH , LTD./HUNTINGTON MA60BM NI

Patients

Seq Age Sex Outcome Treatment
1 NI Other