FDA Adverse Event Injury Summary report: N

ACRYSOF RESTOR

MDR report key: 2032431 · Received March 25, 2011

Report

Report Number
1119421-2011-00335
Event Type
Injury
Date Received
March 25, 2011
Date of Event
May 10, 2010
Report Date
February 23, 2011
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
DE, US
Reporter Occupation
UNKNOWN

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: NO ROOT CAUSE COULD BE IDENTIFY 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. THERE HAS BEEN ONE OTHER SIMILAR COMPLAINTS REPORTED IN THE LOT NUMBER WHICH IS FOR THE RELATED FILE. ADD'L INFO WAS REQUESTED ON 02/23/2011, 03/03/2011, AND 03/17/2011 BY PHONE, FAX, AND MAIL. A COMPLETED QUESTIONNAIRE WAS RECEIVED ON 03/14/2011. (B)(4).

Description of Event or Problem · 1

A CONSUMER REPORTED POOR READING VISION FOLLOWING BILATERAL INTRAOCULAR LENS (IOL) IMPLANT SURGERIES. IN A FOLLOW-UP, THE SURGEON REPORTED THAT POSTERIOR CAPSULAR OPACIFICATION (PCO) WAS NOTED APPROX FOUR MONTHS FOLLOWING THE SURGERIES AND YAG LASER WAS PERFORMED FOR BOTH EYES. THE SURGEON REPORTED THE PT CONTINUES TO HAVE POOR READING VISION IN LOW LIGHT CONDITIONS. THERE ARE TWO MEDICAL DEVICE REPORTS ASSOCIATED WITH THIS EVENT. THIS REPORT IS FOR THE FOLLOW EYE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 ACRYSOF RESTOR INTRAOCULAR LENS MFK ALCON RESEARCH, LTD./HUNTINGTON SN6AD1 10925115

Patients

Seq Age Sex Outcome Treatment
1 63 YR Required Intervention AMVISC| MONARCH CARTRIDGE