FDA Adverse Event Injury Summary report: N

ACRYSOF IQ TORIC

MDR report key: 2231168 · Received August 26, 2011

Report

Report Number
1119421-2011-01062
Event Type
Injury
Date Received
August 26, 2011
Date of Event
January 1, 2011
Report Date
July 29, 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
TX, 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. NO FURTHER ACTION IS WARRANTED AT THIS TIME. 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 ON 07/29/2011, 08/10/2011 AND 08/01/2011 BY FAX, PHONE AND MAIL. A COMPLETED QUESTIONNAIRE HAS NOT BE RECEIVED. (B)(4).

Description of Event or Problem · 1

A SURGEON REPORTED A PT EXPERIENCING BLURRED VISION AND "VISION IS NOT AS GOOD" FOLLOWING INTRAOCULAR LENS (IOL) IMPLANT SURGERY. HE NOTED THE LENS WAS IMPLANTED BY ANOTHER SURGEON IN 2009 AND THE PT CAME TO HIM FOR A SECOND OPINION. HE REPORTED UPON EXAMINING THE PT HE NOTED THE LENS WAS OFF AXIS RESULTING IN AN UNEXPECTED OUTCOME AND ASTIGMATISM. HE NOTED THE OPERATIVE REPORT STATED THAT THE LENS WAS "CENTERED NICELY" AND MADE NO MENTION OF THE LENS BEING OFF AXIS. HE STATED AT THIS TIME HE COULD NOT PROVIDE ANY ADDITIONAL INFORMATION. IN FOLLOW-UP, THE INITIAL SURGEON STATED HE WAS UNABLE TO PROVIDE ANY INFORMATION REGARDING THE PT WITHOUT PT IDENTIFIERS. ADDITIONAL INFORMATION 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 SN6AT3 10940129

Patients

Seq Age Sex Outcome Treatment
1 Other