FDA Adverse Event
Injury
Summary report: N
SOFPORT ADVANCED OPTIC LENS
MDR report key: 2802360
·
Received October 19, 2012
Report
- Report Number
- 1119279-2012-00250
- Event Type
- Injury
- Date Received
- October 19, 2012
- Date of Event
- September 10, 2012
- Report Date
- September 12, 2012
- Manufacturer
- BAUSCH & LOMB
- Product Code
- HQL
- PMA / PMN Number
- P910061
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- MI, US
- Reporter Occupation
- OTHER HEALTH CARE PROFESSIONAL
Narratives
Additional Manufacturer Narrative · 1
THE LENS WAS RETURNED TO BAUSCH + LOMB FOR EVAL. INVESTIGATION OF THIS COMPLAINT IS IN PROGRESS. A SUPPLEMENTAL REPORT WILL BE SUBMITTED UPON COMPLETION OF THE INVESTIGATION.
Description of Event or Problem · 1
IT WAS REPORTED THAT THE LI61AOR IOL WAS REMOVED INTRAOPERATIVELY DUE TO BENT HAPTIC. AN EZ-28 DELIVERY SYSTEM WAS USED. THE ORIGINAL INCISION WAS ENLARGED, BUT NO SUTURES WERE USED. ANOTHER LENS WAS IMPLANTED SUCCESSFULLY, AND THE PT'S PROGNOSIS WAS DESCRIBED AS EXCELLENT. REFERENCE MDR#: 1119279-2012-00251 FOR THE DELIVERY DEVICE.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | SOFPORT ADVANCED OPTIC LENS | HQL/INTRAOCULAR LENS | HQL | BAUSCH & LOMB | LI61AOR | 4210312 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | Other | EZ-28 DELIVERY SYSTEM |