FDA Adverse Event Other Summary report: N

ACRYSOF TORIC

MDR report key: 1285962 · Received December 17, 2008

Report

Report Number
1119421-2008-01022
Event Type
Other
Date Received
December 17, 2008
Date of Event
January 1, 2008
Report Date
November 17, 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
CO, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

THE PRODUCT WAS NOT RETURNED FOR ANALYSIS; 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 WAS REQUESTED ON 11/20/2008, 12/02/2008 AND 12/08/2008 BY PHONE, FAX, AND MAIL. A COMPLETED QUESTIONNAIRE HAS NOT BEEN RECEIVED.

Description of Event or Problem · 1

A SURGEON REPORTED A PATIENT WITH AN UNEXPECTED POSTOPERATIVE REFRACTION FOLLOWING INTRAOCULAR LENS (IOL) IMPLANT SURGERY. THE SURGEON ALSO REPORTED THE PATIENT HAD EXPERIENCED GLARE AT NIGHT AND STROBING LIGHTS. ADDITIONAL INFORMATION HAS BEEN REQUESTED.

Devices

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

Patients

Seq Age Sex Outcome Treatment
1 61 YR Other