ENVISTA ENVY TORIC HYDROPHOBIC ACRYLIC INTRAOCULAR LENS
Report
- Report Number
- 0001313525-2025-00051
- Event Type
- Injury
- Date Received
- April 17, 2025
- Date of Event
- March 15, 2025
- Report Date
- March 17, 2025
- Manufacturer
- BAUSCH + LOMB
- Product Code
- MFK
- UDI-DI
- 10757770641984
- PMA / PMN Number
- P240005
- Removal / Correction Number
- RES96594
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- IL, US
- Reporter Occupation
- NURSE
- Health Professional
- Yes
Narratives
AFTER FURTHER REVIEW, THIS COMPLAINT IS NOT REPORTABLE AS PER 21 CFR 803.
THE DEVICE REMAINS IMPLANTED. INVESTIGATION OF THIS EVENT IS IN PROGRESS. RECALL OF DEVICE IS UNDERWAY.
IT WAS REPORTED THAT 1-DAY POST-IMPLANTATION OF AN INTRAOCULAR LENS (IOL) INTO THE RIGHT EYE (OD), THE PATIENT PRESENTED WITH TRACE INJECTION, 2+RR. 4+ CELL WITH FIBRIN, EARLY PUPILLARY FIBRIN MEMBRANE, AND <1MM NEW LAYERED HYPOPYON. BASED ON THE FINDINGS THE SURGEON CONCLUDED THE CAUSE AS TOXIC ANTERIOR SEGMENT SYNDROME (TASS). A SUB-TENON INJECTION OF VANCOMYCIN/CEFTAZIDIME WAS ADMINISTERED. IN THE SURGEON'S OPINION THE MOST LIKELY CAUSE OF THE EVENT IS INFECTION FROM SURGERY-CAUSE UNKNOWN. PATIENT OUTCOME IS GOOD. THE FOLLOWING MEDICATIONS WERE PRESCRIBED (FOR USE AT HOME POST-OPERATIVELY): PRED-MOXI-BROM 1%/0.5%/0.075% 1GTT QID UNTIL SEEN. PREDNISOLONE 1% 1GTT Q1H UNTIL SEEN.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 113967 | ENVISTA ENVY TORIC HYDROPHOBIC ACRYLIC INTRAOCULAR LENS | LENS, MULTIFOCAL INTRAOCULAR | MFK | BAUSCH + LOMB | ETN | 3Q26728 | 10757770641984 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 83 YR | Male | Required Intervention | ALCON MONARCH INJ + D CARTRIDGE, ALCON BSS, DUOVISC. |