FDA Adverse Event Other Summary report: N

ACRYSOF IQ TORIC

MDR report key: 1530912 · Received October 30, 2009

Report

Report Number
1119421-2009-01031
Event Type
Other
Date Received
October 30, 2009
Date of Event
July 1, 2009
Report Date
October 1, 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
MD, 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 10/12/2009,10/13/2009, 10/14/2009, 10/16/2009 AND 10/28/2009 BY PHONE, FAX AND MAIL. A COMPLETED QUESTIONAIRE HAS NOT BEEN RECEIVED. (B) (4). (B) (4).

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 THE PT HAD PRESUMED LENTICULAR ASTIGMATISM PRIOR TO SURGERY. THE SURGEON ALSO REPORTED THE PT WAS SEEING A BLURRED SPOT TEMPORALLY THAT WOULD COME AND GO. THE SURGEON WAS TREATING THE PT WITH MEDICATIONS. ADDITIONAL INFO 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 SN6AT3 10909416

Patients

Seq Age Sex Outcome Treatment
1 70 YR Other PRAVASTATIN| ATACAND| NEXIUM| ASPIRIN| WELLBUTRIN