FDA Adverse Event Other Summary report: N

ACRYSOF IQ TORIC

MDR report key: 1421684 · Received July 23, 2009

Report

Report Number
1119421-2009-00702
Event Type
Other
Date Received
July 23, 2009
Date of Event
June 1, 2009
Report Date
June 23, 2009
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
HI, US
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. ADDITIONAL INFORMATION WAS REQUESTED 06/26/2009, 07/07/2009, 07/13/2009, AND 07/20/2009 BY PHONE, FAX AND MAIL. A COMPLETE QUESTIONAIRE HAS NOT BEEN RECEIVED. THIS REPORT WAS MAILED TO FDA ON: 07/23/2009.

Description of Event or Problem · 1

A SURGEON REPORTED A PATIENT WITH AN UNEXPECTED POST-OPERATIVE REFRACTION FOLLOWING INTRAOCULAR LENS (IOL) IMPLANT SURGERY. ADDITIONAL INFORMATION HAS BEEN REQUESTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 ACRYSOF IQ TORIC INTRAOCULAR LENS MJP ALCON RESEARCH, LTD./HUNTINGTON SN6AT5 10903342

Patients

Seq Age Sex Outcome Treatment
1 Other