FDA Adverse Event Injury Summary report: N

ACRYSOF IQ TORIC

MDR report key: 2050960 · Received April 4, 2011

Report

Report Number
1119421-2011-00366
Event Type
Injury
Date Received
April 4, 2011
Date of Event
January 1, 2011
Report Date
March 5, 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
DA
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 LOT/SERIAL NUMBER OR SAMPLE WAS RETURNED BY THE CUSTOMER. NO ROOT CAUSE CAN 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. ADD'L INFO HAS BEEN REQUESTED. (B)(4).

Description of Event or Problem · 1

A SURGEON REPORTED THAT ONE YEAR FOLLOWING BILATERAL INTRAOCULAR LENS (IOL) IMPLANT SURGERIES, THE PT REPORTED SEVERE GLARE. UPON EXAMINATION, THE SURGEON OBSERVED GLISTENINGS IN BOTH LENSES. THE SURGEON SENT THE PT FOR ANOTHER OPINION. THIS SURGEON EXCHANGED BOTH LENSES DUE TO THE REPORT OF GLARE. THIS SURGEON REPORTED THE PT HAD BEEN UNABLE TO DRIVE HER CAR IN MESOPIC CONDITIONS DUE TO THE GLARE. ADD'L INFO HAS BEEN REQUESTED. THERE ARE TWO MEDICAL DEVICE REPORTS ASSOCIATED WITH THIS EVENT. THIS REPORT IS FOR THE LEFT EYE.

Devices

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

Patients

Seq Age Sex Outcome Treatment
1 Required Intervention