FDA Adverse Event Injury Summary report: N

ACRYSOF IQ PANOPTIX UV ABSORBING TRIFOCAL IOL

MDR report key: 16843719 · Received May 1, 2023

Report

Report Number
1119421-2023-00806
Event Type
Injury
Date Received
May 1, 2023
Report Date
May 1, 2023
Manufacturer
ALCON RESEARCH, LLC - HUNTINGTON
Product Code
MFK
UDI-DI
00380652429665
PMA / PMN Number
P040020
Removal / Correction Number
NA
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
TX, US
Reporter Occupation
003

Narratives

Additional Manufacturer Narrative · 0

A SAMPLE DEVICE WAS NOT RETURNED FOR ANALYSIS. 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 NON-HEALTHCARE PROFESSIONAL REPORTED FOLLOWING AN INTRAOCULAR LENS (IOL) IMPLANT PROCEDURE, THE PATIENT EXPERIENCED AURA, GLARE, HALOS AND BLURRY VISION. THE LENS WAS EXPLANTED AND REPLACED WITH MONOFOCAL LENS IN A SECONDARY PROCEDURE. THE CLINICAL REASON FOR THE EXPLANT WAS HIGHER ORDER ABERRATIONS. ADDITIONAL INFORMATION WAS RECEIVED STATING LENS MAY HAVE ALSO CAUSED SEVERAL BLURRED VISION ALONG WITH OPTIC NEUROPATHY. PATIENT'S SYMPTOMS WERE RESOLVED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1274988 ACRYSOF IQ PANOPTIX UV ABSORBING TRIFOCAL IOL LENS, MULTIFOCAL MFK ALCON RESEARCH, LLC - HUNTINGTON TFAT00 15347014 00380652429665

Patients

Seq Age Sex Outcome Treatment
1 69 YR Male Other| R