FDA Adverse Event Injury Summary report: N

AKREOS ADVANCE ASPHERIC LENS

MDR report key: 1893044 · Received October 28, 2010

Report

Report Number
1119279-2010-00075
Event Type
Injury
Date Received
October 28, 2010
Date of Event
August 12, 2010
Report Date
September 29, 2010
Manufacturer
BAUSCH & LOMB
Product Code
HQL
PMA / PMN Number
P060022
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
GM
Reporter Occupation
PHYSICIAN

Narratives

Additional Manufacturer Narrative · 1

THE DEVICE HISTORY RECORDS WERE REVIEWED, AND THERE WERE NO DISCREPANCIES OR DEVIATIONS IDENTIFIED THAT WOULD CONTRIBUTE TO THE REPORTED ISSUE. THE SURGEON SUSPECTS THAT THE LENS DIOPTER WAS MISLABELED. THE DHR REVIEW INDICATES THAT THE LOT CONFORMED TO SPECIFICATION AT THE TIME OF RELEASE. IN ADDITION, A RETAIN SAMPLE FROM THE SAME LOT, AS THE EXPLANTED LENS WAS MEASURED FOR DIOPTER POWER AND WAS FOUND TO BE WITHIN SPECIFICATIONS, AND NO SIMILAR COMPLAINTS WERE RECEIVED FOR THIS MFG LOT.

Description of Event or Problem · 1

THE PHYSICIAN REPORTS PERFORMING UNEVENTFUL CATARACT SURGERY WITH IMPLANTATION OF THE AKREOS ADAPT INTRAOCULAR LENS IN THE RIGHT EYE. POSTOPERATIVELY, THE PT PRESENTED WITH AN UNEXPECTED REFRACTIVE ERROR OF -6.50D. APPROXIMATELY SIX WEEKS POSTOPERATIVELY, THE SURGEON EXPLANTED THE LENS AND REPLACED IT WITH A 21.0 DIOPTER ADAPT INTRAOCULAR LENS. THE PT'S CURRENT VISUAL ACUITY IS + 1.00 - 1.50. PREOPERATIVE VISUAL ACUITY WAS NOT PROVIDED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 AKREOS ADVANCE ASPHERIC LENS INTRAOCULAR LENS HQL BAUSCH & LOMB ADAPT 5008552

Patients

Seq Age Sex Outcome Treatment
1 72 YR Required Intervention