FDA Adverse Event Other Summary report: N

ACRYSOF IQ TORIC

MDR report key: 1821701 · Received August 27, 2010

Report

Report Number
1119421-2010-00954
Event Type
Other
Date Received
August 27, 2010
Date of Event
June 1, 2010
Report Date
July 29, 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 COMPLAINTS REPORTED IN THE LOT NUMBER. ADD'L INFO WAS REQUESTED ON 07/29/2010 AND 08/03/2010 BY PHONE, FAX, AND MAIL. MEDICAL RECORDS WERE RECEIVES ON 08/03/2010. A COMPLETED QUESTIONNAIRE WAS RECEIVED ON 08/05/2010. (B)(4).

Description of Event or Problem · 1

ADVERSE EVENT(S): "BLURRY VISION" (BLURRED VISION). PRODUCT PROBLEM(S): "NONE REPORTED" (NO INFO [IOL (INTRAOCULAR LENS) IMPLANT]). A CONSUMER'S HUSBAND REPORTED THAT HIS WIFE IS EXPERIENCING BLURRY VISION FOLLOWING BILATERAL INTRAOCULAR LENS (IOL) IMPLANT SURGERIES. MEDICAL RECORDS WERE RECEIVED AND INDICATED THAT AT FIVE WEEKS POSTOPERATIVELY, SHE REPORTED, HER VISION IS "STILL VERY BLURRY AT DISTANCE, CAN'T FOCUS AT DISTANCE AND NEAR" AND THAT EVERY TIME SHE BLINKS IT "CHANGES HER VISION". IN A F/U, THE SURGEON REPORTED THAT IN HIS OPINION, THE DEVICE DID NOT CAUSE OR CONTRIBUTE TO THE EVENT. HE ALSO REPORTED NUMEROUS OCULAR AND NON-OCULAR MEDICAL HISTORIES FOR THIS PT. THE PT'S ISSUE RESOLVED WITH PRESCRIPTION GLASSES. THERE ARE TWO MEDICAL DEVICE REPORTS ASSOCIATED WITH THIS EVENT. THIS REPORT IS FOR THE RIGHT EYE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 ACRYSOF IQ TORIC INTRAOCULAR LENS HQL ALCON RESEARCH. LTD. / HUNTINGTON SN6AT5 10982118

Patients

Seq Age Sex Outcome Treatment
1 68 YR Other DELIVERY SYSTEM| MIRALAX| SEABIOTICS| VISCOELASTIC| FISH OIL| ADVIL| METAMUCIL| ZERGERID| LIPITOR| CHLOR-TRIMENTON| CALTRATE