BEUDAMED
    FDA Adverse Event Injury Summary report: N

    CEE ON LENS

    MDR report key: 236619 · Received August 18, 1999

    Report

    Report Number
    9614546-1999-00037
    Event Type
    Injury
    Date Received
    August 18, 1999
    Date of Event
    June 11, 1999
    Report Date
    August 17, 1999
    Manufacturer
    PHARMACIA BV PRODUCTION
    Product Code
    HQL
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    CO, US
    Reporter Occupation
    PHYSICIAN

    Narratives

    Description of Event or Problem · 1

    THIS REPORT WAS REC'D VIA A RETURN OF CEE ON LENS MODEL 720/19.50(D). ADD'L INFO WAS PROVIDED BY THE SURGERY NURSE. A 64 YR OLD MAN HAD AN IMPLANT OF THIS IOL (LEFT EYE) PERFORMED IN 1999. SUBSEQUENTLY, THE IOL BECAME DISLOCATED AND WAS EXPLANTED IN 1999. IMPLANT OF A UV65A WAS DONE AT THE TIME OF SECONDARY SURGERY. A VITRECTOMY WAS ALSO DONE. NO OTHER INFO WAS KNOWN BY THE NURSE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 CEE ON LENS Implant INTRAOCULAR LENS HQL PHARMACIA BV PRODUCTION 720 UNK

    Patients

    Seq Age Sex Outcome Treatment
    1 64 YR Required Intervention