FDA Adverse Event
Other
Summary report: N
ACRYSOF
MDR report key: 1941915
·
Received December 22, 2010
Report
- Report Number
- 1119421-2010-01463
- Event Type
- Other
- Date Received
- December 22, 2010
- Date of Event
- January 1, 2010
- Report Date
- December 2, 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. AT THE CONSUMER'S REQUEST, THE SURGEON WAS NOT CONTACTED. (B)(4).
Description of Event or Problem · 1
A CONSUMER REPORTED THAT FOLLOWING INTRAOCULAR LENS (IOL) IMPLANT SURGERY, SHE IS SEEING LIGHT FLASHES TO ONE SIDE. SHE ALSO REPORTED A HISTORY OF MIGRAINES AND SEEMED TO HAVE MORE AFTER HER IMPLANT SURGERY. SHE REPORTED HER VISION IS GOOD. 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 | 11013890 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | Other |