FDA Adverse Event Injury Summary report: N

ACRYSOF IQ RESTOR MULTIFOCAL TORIC

MDR report key: 2161819 · Received July 8, 2011

Report

Report Number
1119421-2011-00855
Event Type
Injury
Date Received
July 8, 2011
Date of Event
February 9, 2011
Report Date
June 8, 2011
Manufacturer
ALCON RESEARCH, LTD. / HUNTINGTON
Product Code
MFK
PMA / PMN Number
NA
Removal / Correction Number
NA
Adverse Event
Yes
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
GM
Reporter Occupation
UNKNOWN

Narratives

Additional Manufacturer Narrative · 1

PRODUCT EVALUATION: THE PRODUCT WAS NOT RETURNED FOR ANALYSIS, ONLY THE CARTON AND INSERTS WERE RETURNED. RESULTS FROM THE PRODUCT HISTORY RECORD REVIEW INDICATED THE PRODUCT MET RELEASE CRITERIA. ROOT CAUSE: THE ROOT CAUSE COULD NOT BE IDENTIFIED BY THE INVESTIGATION. ACTION TAKEN: INVESTIGATION HAS BEEN COMPLETED BASED ON CURRENT INFORMATION. CONCLUSION: BASED ON OUR CURRENT TRACKING, THERE ARE NO ADVERSE TRENDS FOR THIS REPORTED COMPLAINT AND BASED ON THESE FINDINGS THE RESIDUAL RISK REMAINS UNCHANGED AND AT AN ACCEPTABLE LEVEL. ADDITIONAL INFORMATION HAS BEEN REQUESTED AND RECEIVED. (B)(4).

Description of Event or Problem · 1

A USER FACILITY REPORTED AN INTRAOCULAR LENS (IOL) ROTATED FOLLOWING IMPLANT SURGERY. THE LENS WAS REPOSITIONED. IN A FOLLOW-UP, THE REPORTER INDICATED THAT THE PATIENT EXPERIENCED "BAD" VISION AT ALL DISTANCES. IN THE SURGEON'S OPINION, THE DEVICE DID NOT CAUSE/CONTRIBUTE TO THE EVENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 ACRYSOF IQ RESTOR MULTIFOCAL TORIC INTRAOCULAR LENS MFK ALCON RESEARCH, LTD. / HUNTINGTON SND1T4 11046467

Patients

Seq Age Sex Outcome Treatment
1 69 YR Required Intervention MONARCH CARTRIDGE D| PROVISC| ACULAR| MONARCH HANDPIECE| ISOPTOMAX