FDA Adverse Event Other Summary report: N

ACRYSOF IQ TORIC

MDR report key: 1553749 · Received November 23, 2009

Report

Report Number
1119421-2009-01129
Event Type
Other
Date Received
November 23, 2009
Date of Event
January 1, 2009
Report Date
October 30, 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
CA, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

THE PRODUCT WAS NOT RETURNED FOR ANALYSIS; DEVICE REMAINS IMPLANTED. PRODUCT HISTORY RECORDS COULD NOT BE REVIEWED BECAUSE THE REPORTING FACILITY DID NOT PROVIDE A LOT NUMBER OR ANY IDENTIFICATION TRACEABLE TO THE MFG DOCUMENTATION. ADD'L INFO WAS REQUESTED ON 11/02/2009, 11/03/2009, 11/05/2009, AND 11/19/2009 BY PHONE, FAX, AND MAIL. A COMPLETED QUESTIONNAIRE HAS NOT BEEN RECEIVED. (B) (4). (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. ADD'L 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 NI NI

Patients

Seq Age Sex Outcome Treatment
1 Other