FDA Adverse Event Other Summary report: N

ACRYSOF

MDR report key: 2023645 · Received March 4, 2011

Report

Report Number
1119421-2011-00229
Event Type
Other
Date Received
March 4, 2011
Date of Event
January 1, 2011
Report Date
February 4, 2011
Manufacturer
ALCON RESEARCH. LTD. / HUNTINGTON
Product Code
HQL
PMA / PMN Number
P930014
Removal / Correction Number
NA
Adverse Event
Yes
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
BE
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

PRODUCT EVAL: THE PRODUCT WAS NOT RETURNED FOR ANALYSIS. PRODUCT HISTORY RECORDS COULD NOT BE REVIEWED BECAUSE THE REPORTING FACILITY DID NOT PROVIDE A LOT NUMBER OR ANY IDENTIFICATION TRACEABLE TO THE MFG DOCUMENTATION. ROOT CAUSE: NO SERIAL/LOT NUMBER OR SAMPLE WAS PROVIDED BY THE CUSTOMER. THE ROOT CAUSE CANNOT BE DETERMINED AT THIS TIME. 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. ADDITIONAL INFO WAS REQUESTED. (B)(4).

Description of Event or Problem · 1

AN OPHTHALMOLOGIST REPORTED A PT WITH A TWO LINE REDUCTION IN VISUAL ACUITY ONE YEAR FOLLOWING INTRAOCULAR LENS (IOL) IMPLANT SURGERY. THE OPHTHALMOLOGIST REPORTED HE OBSERVED THE IOL WAS "OPACIFIED" BY BIOMICROSCOPY. ADD'L INFO HAS BEEN REQUESTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 ACRYSOF INTRAOCULAR LENS HQL ALCON RESEARCH. LTD. / HUNTINGTON SN60WF NI

Patients

Seq Age Sex Outcome Treatment
1 Other