FDA Adverse Event Other Summary report: N

ACRYSOF TORIC

MDR report key: 2163576 · Received May 16, 2011

Report

Report Number
1119421-2011-00580
Event Type
Other
Date Received
May 16, 2011
Date of Event
May 8, 2008
Report Date
April 16, 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
NY, US
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: NO ROOT CAUSE COULD BE IDENTIFIED BY THE INVESTIGATION. NO SAMPLE WAS RETURNED. ACTION TAKEN: INVESTIGATION HAS BEEN COMPLETED BASED ON CURRENT INFO. 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. THERE HAVE BEEN NO OTHER COMPLAINTS REPORTED IN THE LOT NUMBER. ADD'L INFO WAS REQUESTED ON 04/21/2011 AND 04/22/2011 BY PHONE, FAX, AND MAIL. A COMPLETED QUESTIONNAIRE WAS RECEIVED ON 05/04/2011. (B)(4).

Description of Event or Problem · 1

A SURGEON REPORTED A PT WITH RESIDUAL MANIFEST ASTIGMATISM AND POSTERIOR CAPSULE OPACIFICATION THREE YEARS FOLLOWING INTRAOCULAR LENS (IOL) IMPLANT SURGERY. THE SURGEON NOTED ON EXAMINATION THAT THE IOL WAS OFF AXIS. IN A FOLLOW UP, THE SURGEON REPORTED THE IOL DID NOT CAUSE OR CONTRIBUTE TO THE EVENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 ACRYSOF TORIC INTRAOCULAR LENS HQL ALCON RESEARCH, LTD./HUNTINGTON SN60T3 10731254

Patients

Seq Age Sex Outcome Treatment
1 70 YR Other VISCOAT| PROVISC