FDA Adverse Event Other Summary report: N

ACRYSOF

MDR report key: 1278078 · Received November 21, 2008

Report

Report Number
1119421-2008-00940
Event Type
Other
Date Received
November 21, 2008
Date of Event
November 1, 2008
Report Date
October 23, 2008
Manufacturer
ALCON RESEARCH, LTD.
Product Code
HQL
PMA / PMN Number
P930014
Removal / Correction Number
NA
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
TX, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

THE PRODUCT WAS 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 10/24/2008 AND 11/03/2008 BY PHONE, FAX AND MAIL. A COMPLETED QUESTIONNAIRE HAS NOT BEEN RECEIVED.

Description of Event or Problem · 1

A SURGEON REPORTS TWO PATIENTS WITH UNEXPECTED POSTOPERATIVE REFRACTIONS FOLLOWING INTRAOCULAR LENS (IOL) IMPLANT SURGERY. THE SURGEON REPORTS THAT THIS EVENT IS NOT LENS-RELATED. ADDITIONAL INFORMATION HAS BEEN REQUESTED. THIS REPORT IS FOR THE FIRST OF TWO PATIENTS.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 ACRYSOF INTRAOCULAR LENS HQL ALCON RESEARCH, LTD. SN60WF 10822253

Patients

Seq Age Sex Outcome Treatment
1 71 YR Other