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