BEUDAMED
    FDA Adverse Event Other Summary report: N

    ACRYSOF TORIC

    MDR report key: 1172762 · Received September 18, 2008

    Report

    Report Number
    1119421-2008-00719
    Event Type
    Other
    Date Received
    September 18, 2008
    Date of Event
    September 1, 2008
    Report Date
    August 19, 2008
    Manufacturer
    ALCON RESEARCH, LTD./HUNTINGTON
    Product Code
    MJP
    PMA / PMN Number
    P930014
    Removal / Correction Number
    NA
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    MD, US
    Reporter Occupation
    OTHER

    Narratives

    Additional Manufacturer Narrative · 1

    THE PRODUCT WAS NOT RETURNED FOR ANALYSIS; THE DEVICE REMAINS IMPLANTED. 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 ON 08/20/2008 BY FAX, AND MAIL. A COMPLETED QUESTIONNAIRE WAS RECEIVED ON 08/25/2008. THIS REPORT WAS MAILED TO FDA ON: 09/18/2008.

    Description of Event or Problem · 1

    A SURGEON REPORTS HAVING A PATIENT WITH AN UNEXPECTED POSTOPERATIVE REFRACTION FOLLOWING INTRAOCULAR LENS (IOL) IMPLANT SURGERY.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 ACRYSOF TORIC INTRAOCULAR LENS MJP ALCON RESEARCH, LTD./HUNTINGTON SN60T4 958680

    Patients

    Seq Age Sex Outcome Treatment
    1 60 YR Other LIDOCAINE 2% GEL| DUOVISC