FDA Adverse Event Other Summary report: N

ACRYSOF

MDR report key: 2023647 · Received March 4, 2011

Report

Report Number
9612169-2011-00009
Event Type
Other
Date Received
March 4, 2011
Date of Event
January 1, 2011
Report Date
February 4, 2011
Manufacturer
ALCON LABORATORIES IRELAND, LTD.
Product Code
HQL
PMA / PMN Number
P930014
Removal / Correction Number
NA
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
IN
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

PRODUCT EVAL: THE PRODUCT WAS NOT RETURNED FOR ANALYSIS. RESULTS FROM THE PRODUCT HISTORY RECORD REVIEW INDICATED THE PRODUCT MET RELEASE CRITERIA. ROOT CAUSE: THE ROOT CAUSE FOR THE REPORTED COMPLAINT COULD NOT BE DETERMINED AS NO PRODUCT WAS RETURNED FOR ANALYSIS. BASED ON THE RESULTS FROM THE PRODUCT AND BATCH HISTORY RECORD, THE PRODUCT MET RELEASE CRITERIA. ACTIONS: THERE HAVE BEEN NO OTHER SIMILAR COMPLAINTS FOR THIS LOT. NO FURTHER ACTION IS WARRANTED AT THIS TIME. FINAL COMMENTS: THERE ARE NO ADVERSE TRENDS FOR THIS REPORTED COMPLAINT AND BASED ON THESE FINDINGS THE RESIDUAL RISK REMAINS UNCHANGED AND AT AN ACCEPTABLE LEVEL. ADD'L INFO HAS BEEN REQUESTED. (B)(4).

Description of Event or Problem · 1

A CONSUMER (A DOCTOR) REPORTED THAT FOLLOWING INTRAOCULAR LENS (IOL) IMPLANT SURGERY, HE IS SEEING RED COLOR IN HIS VISION. IN A F/U, THE CONSUMER FURTHER REPORTED THAT HE BELIEVES THE LIQUID MEDICATION DROPS HE WAS TAKING COULD HAVE CAUSED THIS RED COLORED VISION, AS WHEN HE DISCONTINUED IT, THERE IS AN IMPROVEMENT IN VISION. ADD'L INFO HAS BEEN REQUESTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 ACRYSOF INTRAOCULAR LENS HQL ALCON LABORATORIES IRELAND, LTD. SN60WF 21015046

Patients

Seq Age Sex Outcome Treatment
1 Other "LIQUID MEDICATION DROPS"