FDA Adverse Event Injury Summary report: N

CRYSTALENS

MDR report key: 1991020 · Received February 11, 2011

Report

Report Number
2031924-2011-00033
Event Type
Injury
Date Received
February 11, 2011
Report Date
January 14, 2011
Manufacturer
BAUSCH + LOMB
Product Code
NAA
PMA / PMN Number
P030002
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
IL, US
Reporter Occupation
PHYSICIAN

Narratives

Additional Manufacturer Narrative · 1

THE DEVICE HISTORY RECORDS WERE REVIEWED AND THERE WERE NO DISCREPANCIES OR UNUSUAL FINDINGS THAT RELATE TO THE REPORTED ISSUE.

Description of Event or Problem · 1

THE SURGEON REPORTS PERFORMING CATARACT SURGERY WITH IMPLANTATION OF THE CRYSTALENS INTRAOCULAR LENS. POSTOPERATIVELY, THE SURGEON NOTED THAT THE LENS WAS MALPOSITIONED. EXPLANTATION AND REPLACEMENT OF THE LENS IS PLANNED. ADDITIONAL INFO HAS BEEN REQUESTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 CRYSTALENS INTRAOCULAR LENS NAA BAUSCH + LOMB AT50SE 013489

Patients

Seq Age Sex Outcome Treatment
1 Required Intervention