FDA Adverse Event
Injury
Summary report: N
ACRYSOF IQ TORIC
MDR report key: 2230547
·
Received August 12, 2011
Report
- Report Number
- 1119421-2011-00988
- Event Type
- Injury
- Date Received
- August 12, 2011
- Date of Event
- July 1, 2011
- Report Date
- July 14, 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
- FL, US
- Reporter Occupation
- NURSE
Narratives
Additional Manufacturer Narrative · 1
PRODUCT EVAL: THE PROD HAS NOT BEEN RECEIVED FOR EVAL. PROD HISTORY RECORDS WERE REVIEWED AND ALL DOCUMENTS INDICATE THE PROD MET RELEASE CRITERIA. THERE HAVE BEEN NO OTHER COMPLAINTS REPORTED IN THE LOT NUMBER. ADD'L INFO WAS REQUESTED 07/14/2011, 07/18/2011 AND 08/01/2011 BY FAX, PHONE AND MAIL. A COMPLETED QUESTIONNAIRE HAS NOT BEEN RECEIVED. (B)(4).
Description of Event or Problem · 1
A NURSE REPORTED FOLLOWING INTRAOCULAR LENS (IOL) IMPLANT SURGERY, A CENTRAL INFERIOR DEFECT WAS NOTED IN THE LENS. SHE STATED THE DEFECT WAS AFFECTING THE PT'S VISION AND LENS WAS EXPLANTED AND REPLACED WITH ANOTHER IOL. ADD'L INFO HAS BEEN REQUESTED.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | ACRYSOF IQ TORIC | INTRAOCULAR LENS | HQL | ALCON RESEARCH, LTD. / HUNTINGTON | SN6AT4 | 10974370 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 72 YR | Required Intervention |