FDA Adverse Event
Injury
Summary report: N
ETERNITY X-70
MDR report key: 2201864
·
Received August 5, 2011
Report
- Report Number
- 2031924-2011-00129
- Event Type
- Injury
- Date Received
- August 5, 2011
- Date of Event
- July 4, 2011
- Report Date
- July 7, 2011
- Manufacturer
- B+L FOR ADVANCED VISION SYSTEMS (AVS)
- Product Code
- HQL
- PMA / PMN Number
- P080021
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- JA
- Reporter Occupation
- PHYSICIAN
Narratives
Additional Manufacturer Narrative · 1
THE PHYSICIAN SUSPECTS THAT THE PT DEVELOPED INFECTIOUS ENDOPHALMITIS, BASED ON THE FACT THAT CELLS ADHERED TO THE LENS SURFACE. INVESTIGATION OF THIS EVENT IS IN PROGRESS. A SUPPLEMENTAL REPORT WILL BE SUBMITTED UPON COMPLETION OF THE INVESTIGATION.
Description of Event or Problem · 1
THE SURGEON REPORTED THAT AN X-70 INTRAOCULAR LENS WAS IMPLANTED IN THE LEFT EYE OF A PT WITH UVEITIS DURING SIMULTANEOUS VITREOUS SURGERY. IT WAS REPORTED THAT THE PT HAD INFECTIOUS ENDOPHTHALMITIS. THE LENS WAS REMOVED AND THE PT IS CURRENTLY APHAKIC. THE PT IS IN THE HOSPITAL FOR F/U.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | ETERNITY X-70 | HYDROPHOBIC ACRYLIC ONE PIECE IOL | HQL | B+L FOR ADVANCED VISION SYSTEMS (AVS) | X-70 | 1032748-42 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 70 YR | Required Intervention |