FDA Adverse Event Other Summary report: N

ACRYSOF

MDR report key: 1821628 · Received August 18, 2010

Report

Report Number
1119421-2010-00901
Event Type
Other
Date Received
August 18, 2010
Date of Event
January 1, 2010
Report Date
July 19, 2010
Manufacturer
ALCON RESEARCH, LTD. / HUNTINGTON
Product Code
HQL
PMA / PMN Number
P930014
Removal / Correction Number
NA
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
TX, US
Reporter Occupation
UNKNOWN

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 SIMILAR COMPLAINTS REPORTED IN THE LOT NUMBER. AT THE CONSUMER'S REQUEST, THE SURGEON WAS NOT CONTACTED. (B)(4).

Description of Event or Problem · 1

ADVERSE EVENT(S): "NOT SEEING 20/20" (VISION, IMPAIRED). PRODUCT PROBLEM(S): "NO INFORMATION" (NO INFORMATION [IOL (INTRAOCULAR LENS) IMPLANT]). A CONSUMER REPORTED THAT SHE WAS NOT SEEING 20/20 15 DAYS FOLLOWING INTRAOCULAR LENS (IOL) IMPLANT SURGERY. SHE STATED SHE UNDERSTOOD THAT SHE WAS STILL RECOVERING FROM SURGERY. AT THE CONSUMER'S REQUEST, THE SURGEON WAS NOT CONTACTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 ACRYSOF INTRAOCULAR LENS HQL ALCON RESEARCH, LTD. / HUNTINGTON SN60WF 11002869

Patients

Seq Age Sex Outcome Treatment
1 Other