FDA Adverse Event Malfunction Summary report: N

ACRYSOF TORIC

MDR report key: 1230409 · Received November 7, 2008

Report

Report Number
1119421-2008-00883
Event Type
Malfunction
Date Received
November 7, 2008
Date of Event
January 1, 2008
Report Date
October 8, 2008
Manufacturer
ALCON RESEARCH, LTD./HUNTINGTON
Product Code
HQL
PMA / PMN Number
P930014
Removal / Correction Number
NA
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
FL, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

THE PRODUCT WAS NOT RETURNED FOR ANALYSIS. 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 10/10/2008 AND 10/29/2008 BY MAIL. A COMPLETED QUESTIONNAIRE HAS NOT BEEN RECEIVED. (B)(4).

Description of Event or Problem · 1

A CLERK SPECIALIST REPORTS THAT A SURGEON HAD A PROBLEM WITH AN INTRAOCULAR LENS (IOL). PATIENT IMPACT IS UNKNOWN. ADDITIONAL INFORMATION HAS BEEN REQUESTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 ACRYSOF TORIC INTRAOCULAR HQL ALCON RESEARCH, LTD./HUNTINGTON SN60T5 10817655

Patients

Seq Age Sex Outcome Treatment
1 NA