FDA Adverse Event Other Summary report: N

ACRYSOF IQ TORIC

MDR report key: 1421700 · Received July 24, 2009

Report

Report Number
1119421-2009-00704
Event Type
Other
Date Received
July 24, 2009
Date of Event
June 2, 2009
Report Date
June 24, 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
TN, 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 INFO WAS REQUESTED ON 06/25/2009, 07/08/2009, 07/13/2009, AND 07/14/2009 BY PHONE, FAX, AND MAIL. A COMPLETED QUESTIONNAIRE WAS RECEIVED ON 07/01/2009. THIS REPORT WAS MAILED TO FDA ON: 07/24/2009.

Description of Event or Problem · 1

A SURGEON REPORTED A PT WITH AN UNEXPECTED POSTOPERATIVE REFRACTION FOLLOWING INTRAOCULAR LENS (IOL) IMPLANT SURGERY. THE SURGEON REPORTED MILD POSTERIOR CAPSULE OPACIFICATION HAD BEEN NOTED. IN A FOLLOW UP, THE SURGEON REPORTED THE EVENT CONTINUES.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 ACRYSOF IQ TORIC INTRAOCULAR LENS MJP ALCON RESEARCH, LTD./HUNTINGTON SN6AT4 10900622

Patients

Seq Age Sex Outcome Treatment
1 53 YR Other VISCOELASTIC