FDA Adverse Event Malfunction Summary report: N

ACRYSOF TORIC

MDR report key: 1992846 · Received February 4, 2011

Report

Report Number
1119421-2011-00075
Event Type
Malfunction
Date Received
February 4, 2011
Report Date
January 6, 2011
Manufacturer
ALCON RESEARCH, LTD. / HUNTINGTON
Product Code
HQL
PMA / PMN Number
P930014
Removal / Correction Number
NA
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
CA
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

PRODUCT EVALUATION: THE PRODUCT WAS NOT RETURNED FOR ANALYSIS. RESULTS FROM THE PRODUCT HISTORY RECORD REVIEW INDICATED THE PRODUCT MET RELEASE CRITERIA. THERE HAVE BEEN NO OTHER COMPLAINTS REPORTED IN THE LOT NUMBER. ROOT CAUSE: NO ROOT CAUSE COULD BE IDENTIFIED BY THE INVESTIGATION. NO SAMPLE WAS RETURNED. ACTION TAKEN: NO FURTHER ACTION IS WARRANTED AT THIS TIME. COMPLAINT TRENDS WILL CONTINUE TO BE MONITORED AND FURTHER ACTION WILL BE INITIATED WHEN DEEMED NECESSARY BY THE APPROPRIATE RESPONSIBLE MANAGEMENT PERSONNEL. NO FURTHER INFO IS EXPECTED. (B)(4).

Description of Event or Problem · 1

A SURGEON REPORTED THAT AN INTRAOCULAR LENS (IOL) WAS BROKEN UPON OPENING. THERE WAS NO PT INVOLVEMENT. NO FURTHER INFO IS EXPECTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 ACRYSOF TORIC INTRAOCULAR LENS HQL ALCON RESEARCH, LTD. / HUNTINGTON SN60T3 11058052

Patients

Seq Age Sex Outcome Treatment
1