FDA Adverse Event Other Summary report: N

ACRYSOF

MDR report key: 1212774 · Received October 24, 2008

Report

Report Number
1119421-2008-00828
Event Type
Other
Date Received
October 24, 2008
Date of Event
September 23, 2008
Report Date
September 24, 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
NO
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. ADD'L INFO HAS BEEN REQUESTED. THIS REPORT WAS MAILED TO FDA ON: 10/24/2008.

Description of Event or Problem · 1

A SURGEON REPORTED THAT DURING INTRAOCULAR LENS (IOL) IMPLANT SURGERY THE LENS EJECTED FROM THE CARTRIDGE RAPIDLY, CAUSING THE CAPSULAR BAG TO TEAR. THE SURGEON WAS ABLE TO RETURN THE LENS TO THE CENTER OF THE PUPIL AND DID NOT HAVE TO REMOVE IT. THE DAY AFTER THE SURGERY, VITREOUS WAS NOTED IN THE CAPSULAR BAG. THE SURGEON WILL REMOVE THIS IN A COUPLE OF WEEKS. THE SURGEON ALSO REPORTED THAT THE LENS HAD SCRATCHES ON IT. ADD'L INFO HAS BEEN REQUESTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 ACRYSOF INTRAOCULAR LENS HQL ALCON RESEARCH, LTD/HUNTINGTON SN60WF 142984

Patients

Seq Age Sex Outcome Treatment
1 NI Other