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