FDA Adverse Event Injury Summary report: N

ACRYSOF IQ TORIC

MDR report key: 2230662 · Received August 12, 2011

Report

Report Number
1119421-2011-00986
Event Type
Injury
Date Received
August 12, 2011
Date of Event
July 13, 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
Report Source
Manufacturer report
Reporter Location
CA, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

EVALUATION SUMMARY: PRODUCT EVALUATION: THE PRODUCT WAS NOT RETURNED FOR ANALYSIS. RESULTS FROM THE PRODUCT HISTORY RECORD REVIEW INDICATED THE PRODUCT MET RELEASE CRITERIA. ROOT CAUSE: THE ROOT CAUSE COULD NOT BE IDENTIFIED BY THE INVESTIGATION. ACTION TAKEN: INVESTIGATION HAS BEEN COMPLETED BASED ON CURRENT INFORMATION. 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. ADDITIONAL INFORMATION WAS REQUESTED 07/14/2011, 07/18/2011, 08/01/2011 AND 08/08/2011 BY FAX, PHONE AND MAIL. A COMPLETED QUESTIONNAIRE WAS RECEIVED ON 07/19/2011. (B)(4).

Description of Event or Problem · 1

A SURGEON REPORTED FOLLOWING INTRAOCULAR LENS (IOL) IMPLANT SURGERY, THE LENS SHIFTED POSITION. HE STATED THE PATIENT HAD LIMBAL RELAXING INCISION (LRI) SURGERY WHICH OVERCORRECTED THE ASTIGMATISM. THE SURGEON REPORTED DUE TO THE OVERCORRECTION THE LENS WAS EXCHANGED FOR A MONOFOCAL LENS AND THE PATIENT'S SYMPTOMS HAVE RESOLVED. HE NOTED THE IOL DID NOT CAUSE OR CONTRIBUTE TO THE EVENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 ACRYSOF IQ TORIC INTRAOCULAR LENS HQL ALCON RESEARCH, LTD. / HUNTINGTON SN6AT9 12058222

Patients

Seq Age Sex Outcome Treatment
1 Required Intervention DUOVISC