FDA Adverse Event Injury Summary report: N

ACRYSOF IQ TORIC

MDR report key: 3011170 · Received March 15, 2013

Report

Report Number
1119421-2013-00275
Event Type
Injury
Date Received
March 15, 2013
Date of Event
December 10, 2012
Report Date
February 14, 2013
Manufacturer
ALCON RESEARCH, LTD. / HUNTINGTON
Product Code
HQL
PMA / PMN Number
P930014
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
LA, US
Reporter Occupation
UNKNOWN

Narratives

Additional Manufacturer Narrative · 1

EVALUATION SUMMARY: PRODUCT EVALUATION: THE PRODUCT WAS NOT RETURNED FOR ANALYSIS. RESULTS FROM THE PRODUCT HISTORY RECORD REVIEW INDICATED THE PRODUCT MET RELEASE CRITERIA. THE PRODUCT INVESTIGATION COULD NOT VERIFY A ROOT CAUSE. THERE HAVE BEEN NO OTHER COMPLAINTS REPORTED IN THE LOT NUMBER. ATTEMPTS HAVE BEEN MADE TO OBTAIN ADDITIONAL INFORMATION BY PHONE, FAX, AND MAIL. A COMPLETED QUESTIONNAIRE HAS NOT BEEN RECEIVED. (B)(4).

Description of Event or Problem · 1

A USER FACILITY REPORTED THAT A PT HAD AN UNEXPECTED OUTCOME FOLLOWING INTRAOCULAR LENS (IOL) IMPLANT SURGERY. ADDITIONAL INFORMATION WAS REQUESTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
110873 ACRYSOF IQ TORIC INTRAOCULAR HQL ALCON RESEARCH, LTD. / HUNTINGTON SN6AT4 12110634

Patients

Seq Age Sex Outcome Treatment
1 Other