FDA Adverse Event Injury Summary report: N

ACRYSOF RESTOR

MDR report key: 2980592 · Received February 21, 2013

Report

Report Number
1119421-2013-00170
Event Type
Injury
Date Received
February 21, 2013
Date of Event
January 1, 2013
Report Date
January 23, 2013
Manufacturer
ALCON RESEARCH, LTD / HUNTINGTON
Product Code
HQL
PMA / PMN Number
P040020
Removal / Correction Number
NA
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
SP
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

EVALUATION SUMMARY: THE PRODUCT WAS NOT RETURNED FOR ANALYSIS. RESULTS FROM THE PRODUCT HISTORY RECORD REVIEW INDICATED THE PRODUCT MET RELEASE CRITERIA. THE REVIEW INCLUDES ACCEPTANCE FOR ALL COSMETIC, OPTICAL AND FUNCTIONAL PROPERTIES OF THE PRODUCT. THE PRODUCT INVESTIGATION COULD NOT IDENTIFY A ROOT CAUSE. THERE HAS BEEN ONE OTHER SIMILAR COMPLAINT REPORTED IN THE LOT NUMBER. (B)(4).

Description of Event or Problem · 1

A SURGEON REPORTED THAT FOLLOWING INTRAOCULAR LENS (IOL) IMPLANT SURGERY, THE PT DID NOT REACH GOOD VISUAL ACUITY WHICH IS CORRECTED WITH MONOFOCAL GLASSES. THE GRADUATION OF THE GLASSES AT THAT TIME WAS +0.75, HOWEVER, AT THE LAST FOLLOW-UP VISIT, THE SURGEON INDICATED THE PT NEEDED AN ADDITION OF +2.00 AND POSSIBLE PROGRESSIVE GLASSES. ADDITIONAL INFORMATION HAS BEEN REQUESTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
75224 ACRYSOF RESTOR INTRAOCULAR LENS HQL ALCON RESEARCH, LTD / HUNTINGTON SN6AD1 12057493

Patients

Seq Age Sex Outcome Treatment
1 Other