FDA Adverse Event Injury Summary report: N

SOFPORT ADVANCED OPTIC LENS

MDR report key: 2960303 · Received February 8, 2013

Report

Report Number
1119279-2013-00037
Event Type
Injury
Date Received
February 8, 2013
Date of Event
January 10, 2013
Report Date
January 10, 2013
Manufacturer
BAUSCH & LOMB
Product Code
HQL
PMA / PMN Number
P910061
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
FL, US
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL

Narratives

Additional Manufacturer Narrative · 1

THE LENS HAS BEEN REQUESTED BUT HAS NOT BEEN RETURNED TO BAUSCH + LOMB FOR EVAL. INVESTIGATION OF THIS EVENT 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 INTRAOCULAR LENS WOULD NOT BE POSITIONED PROPERLY IN THE PT'S EYE. THE INCISION WAS ENLARGED TO REMOVE THE LENS INTRAOPERATIVELY. ANOTHER LENS WAS IMPLANTED SUCCESSFULLY. PLEASE REFERENCE MDR# 1119279-2013-00038 FOR THE DELIVERY DEVICE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
54254 SOFPORT ADVANCED OPTIC LENS HQ/INTRAOCULAR LENS HQL BAUSCH & LOMB LI61AOR 4224213

Patients

Seq Age Sex Outcome Treatment
1 Other EZ-28 DELIVERY SYSTEM (B+L)