FDA Adverse Event Other Summary report: N

ACRYSOF IQ TORIC

MDR report key: 2170157 · Received June 24, 2011

Report

Report Number
1119421-2011-00808
Event Type
Other
Date Received
June 24, 2011
Date of Event
April 13, 2011
Report Date
May 27, 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
CA, 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. ADD'L INFO WAS PROVIDED, WHICH INDICATED AN APPROVED CARTRIDGE WAS USED WITH A HANDPIECE. ROOT CAUSE: NO ROOT CAUSE COULD BE IDENTIFIED BY THE INVESTIGATION. 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 HAS WAS REQUESTED ON 05/31/2011, 06/01/2011 AND 06/13/2011 BY MAIL AND PHONE. A COMPLETED QUESTIONNAIRE WAS RECEIVED ON 06/16/2011. (B)(4).

Description of Event or Problem · 1

A CORNEA COORDINATOR REPORTED THAT AN INTRAOCULAR LENS (IOL) ROTATED FOLLOWING SURGERY AND NOW THE PT IS REPORTING LIGHT SENSITIVITY. FOLLOW UP INFO WAS RECEIVED FROM THE SURGEON, WHO REPORTS THAT THE EVENT CONTINUES.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 ACRYSOF IQ TORIC INTRAOCULAR LENS HQL ALCON RESEARCH, LTD./HUNTINGTON SN6AT5 10966779

Patients

Seq Age Sex Outcome Treatment
1 54 YR Other