FDA Adverse Event Other Summary report: N

ACRYSOF

MDR report key: 2034722 · Received March 23, 2011

Report

Report Number
1119421-2011-00313
Event Type
Other
Date Received
March 23, 2011
Date of Event
February 16, 2011
Report Date
February 21, 2011
Manufacturer
ALCON RESEARCH. LTD. / HUNTINGTON
Product Code
HQL
PMA / PMN Number
P930014
Removal / Correction Number
NA
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
NC, US
Reporter Occupation
UNKNOWN

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. ROOT CAUSE: NO ROOT CAUSE COULD BE DETERMINED. THE PRODUCT WAS NOT 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 HAVE BEEN NO OTHER COMPLAINTS REPORTED IN THE LOT NUMBER. ADD'L INFO REC'D IN A F/U PHONE CALL ON 02/25/2011. (B)(4).

Description of Event or Problem · 1

A CONSUMER REPORTED SEEING LIGHT FLASHES TO THE RIGHT SIDE OF HIS EYE AFTER HAVING HIS EYE PRESSURE CHECKED AND EYES DILATED AT AN EYE EXAMINATION. THE CONSUMER REPORTED IT WAS LIKE SEEING A REFLECTION OF THE INTRAOCULAR LENS (IOL) AND AS IF THE LENS WAS FLOATING AROUND. THE CONSUMER INDICATED THE TECHNICIAN USED A BLUE LIGHT TO DO HIS PRESSURE CHECK AND HE FEELS THE IOL MAY HAVE MOVED AFTER THE TECHNICIAN TAPPED HIS EYE SEVERAL TIMES WHILE DOING THE PRESSURE CHECK. AT THE TIME OF HIS REPORT, THE CONSUMER REPORTED THE LIGHT FLASHES WERE LESS NOTICEABLE, BUT THE EYE FELT DRY AND HIS VISION WAS LESS CLEAR. THE CONSUMER REPORTED HE HAD STATED USING MOISTURE DROPS IN HIS EYES. IN A F/U PHONE CALL WITH THE CONSUMER, HE REPORTED HE HAD SEEN THIS SURGEON IN A F/U VISIT. THE SURGEON HAD TOLD HIM THERE WAS NOTHING OUT OF THE ORDINARY IN THE EXAMINATION AND FELT THE CONSUMER WAS SEEING SOME VITREOUS. THE CONSUMER REPORTED HE STILL SEES THE "FLOATERS" WHICH HE CAN SEE WHEN HE LOOKS TO THE RIGHT, LEFT OR WHEN READING. HE STATED HE NEVER HAD THEM UNTIL THE DILATED EXAMINATION. AT THE REQUEST OF THE CONSUMER, THE SURGEON WAS NOT CONTACTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 ACRYSOF INTRAOCULAR LENS HQL ALCON RESEARCH. LTD. / HUNTINGTON SN60WF 10937114

Patients

Seq Age Sex Outcome Treatment
1 Other