FDA Adverse Event Injury Summary report: N

ACRYSOF

MDR report key: 1872989 · Received September 22, 2010

Report

Report Number
1119421-2010-01045
Event Type
Injury
Date Received
September 22, 2010
Date of Event
July 1, 2010
Report Date
August 23, 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 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 REPORTER DID NOT PROVIDE A LOT NUMBER OR ANY IDENTIFICATION TRACEABLE TO THE MFG DOCUMENTATION. NO CONTACT INFO WAS PROVIDED; THEREFORE, NO F/U COULD BE DONE. (B)(4).

Description of Event or Problem · 1

THROUGH A MEDWATCH REPORT, A CONSUMER'S DAUGHTER REPORTED THAT FOLLOWING BILATERAL INTRAOCULAR LENS (IOL) IMPLANT SURGERIES, HER MOTHER HAS INFLAMED CORNEAS, INFLAMED EYES FILLED WITH PUS, AND IS UNABLE TO READ. SHE REPORTED THAT HER MOTHER IS UNDER THE CARE OF ANOTHER SURGEON (NOT THE IMPLANTING SURGEON) WHO RECOMMENDED HER MOTHER BE SEEN BY A CORNEAL SPECIALIST. NO CONTACT INFO WAS PROVIDED; THEREFORE, NO F/U COULD BE DONE. THERE ARE TWO MEDICAL DEVICE REPORTS FOR THIS EVENT. THIS REPORT IS FOR THE FELLOW EYE.

Devices

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

Patients

Seq Age Sex Outcome Treatment
1 Other