FDA Adverse Event Malfunction Summary report: N

ACRYSOF IQ PANOPTIX TRIFOCAL IOL

MDR report key: 15303399 · Received August 26, 2022

Report

Report Number
1119421-2022-01860
Event Type
Malfunction
Date Received
August 26, 2022
Date of Event
July 12, 2022
Report Date
August 26, 2022
Manufacturer
ALCON RESEARCH, LLC - HUNTINGTON
Product Code
MFK
PMA / PMN Number
P040020
Removal / Correction Number
NA
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
JA
Reporter Occupation
PHYSICIAN
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

A SAMPLE DEVICE WAS NOT RETURNED FOR ANALYSIS. COMPLAINT HISTORY AND PRODUCT HISTORY RECORDS WERE REVIEWED AND DOCUMENTATION INDICATED THE PRODUCT MET RELEASE CRITERIA. ROOT CAUSE HAS NOT BEEN IDENTIFIED. THERE HAVE BEEN NO OTHER COMPLAINTS REPORTED IN THE LOT NUMBER. THE MANUFACTURER INTERNAL REFERENCE NUMBER IS: (B)(4).

Description of Event or Problem · 0

A PHYSICIAN REPORTED THAT FOLLOWING AN INTRAOCULAR LENS (IOL) IMPLANT PROCEDURE, THE PATIENT EXPERIENCED STRONG GLISTENING WAS OBSERVED AND VISUAL ACUITY DECREASED. THE REPORTER STRONGLY BELIEVED THAT THE CAUSE WAS THE GLISTENING BECAUSE THERE WERE NO OTHER ABNORMALITIES IN THE EYEGROUND ETC. AT THIS TIME, THE PATIENT IS UNDER FOLLOW-UP WITHOUT ANY SPECIAL TREATMENT. THE SAMPLE IS NOT AVAILABLE AS IT STILL REMAINS IN THE PATIENT'S EYE. ADDITIONAL INFORMATION HAS BEEN REQUESTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1773166 ACRYSOF IQ PANOPTIX TRIFOCAL IOL LENS, MULTIFOCAL MFK ALCON RESEARCH, LLC - HUNTINGTON TFNT00 12737890

Patients

Seq Age Sex Outcome Treatment
1 Unknown