FDA Adverse Event
Other
Summary report: N
ETERNITY
MDR report key: 1406834
·
Received March 25, 2009
Report
- Report Number
- 2020277-2009-00111
- Event Type
- Other
- Date Received
- March 25, 2009
- Date of Event
- October 15, 2008
- Report Date
- March 10, 2009
- Manufacturer
- ADVANCED VISION SCIENCE
- Product Code
- HQL
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- JA
- Reporter Occupation
- PHYSICIAN
Narratives
Additional Manufacturer Narrative · 1
IT IS CONSIDERED THAT INFERIOR PRECISION OF THE INJECTOR CAUSED THIS EVENT, WHERE NO MEDICAL AGENT OR DEVICES USED IN THE OPERATION PLAYED A ROLE.
Description of Event or Problem · 1
WHEN TRIED TO INSERT THE IOL WITH THE INJECTOR, IT BECAME HARD TO HANDLE IT WITH A FEELING OF SOMETHING BEING STUCK INSIDE; THEN SUDDENLY, A FEELING OF IT BEING RELEASED, FOLLOWED BY EJECTION OF THE LENS BY A SUDDEN UNCONTROLLED PUSHING FORCE, CAUSING POSTERIOR CAPSULE RUPTURE AS A RESULT. ALTHOUGH POSTERIOR CAPSULE RUPTURE WAS CONFIRMED, WITH NO INTRAOCULAR LENS DISLOCATION OBSERVED, IOL WAS FIXED IN THE BAG.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | ETERNITY | INTRAOCULAR LENS | HQL | ADVANCED VISION SCIENCE | X-70 | 1015534 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 61 YR | Required Intervention |