BEUDAMED
    FDA Adverse Event Other Summary report: N

    ACRYSOF RESTOR

    MDR report key: 1943642 · Received December 14, 2010

    Report

    Report Number
    1119421-2010-01398
    Event Type
    Other
    Date Received
    December 14, 2010
    Date of Event
    January 1, 2010
    Report Date
    November 17, 2010
    Manufacturer
    ALCON RESEARCH, LTD./HUNTINGTON
    Product Code
    MFK
    PMA / PMN Number
    P040020
    Removal / Correction Number
    NA
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    OH, 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 SHE CAN SEE A SHIMMER IN HER PERIPHERAL VISION WITH CONSTANT SHAKING FOLLOWING BILATERAL INTRAOCULAR LENS (IOL) IMPLANT SURGERY AND THAT SHE SEES THE ARC OF THE LENS WHICH CUTS OFF HER VISION. THE ARC IS NOT AS NOTICEABLE WHEN SHE WEARS SUNGLASSES. AT THE CONSUMER'S REQUEST, THE SURGEON WAS NOT CONTACTED. THERE ARE TWO MEDICAL DEVICE REPORTS ASSOCIATED WITH THIS EVENT. THIS REPORT IS FOR THE LEFT EYE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 ACRYSOF RESTOR INTRAOCULAR LENS MFK ALCON RESEARCH, LTD./HUNTINGTON SN6AD1 10933525

    Patients

    Seq Age Sex Outcome Treatment
    1 48 YR Other