FDA Adverse Event Injury Summary report: N

HYDROVIEW INTRAOCULAR LENS

MDR report key: 3030259 · Received March 28, 2013

Report

Report Number
1119279-2013-00092
Event Type
Injury
Date Received
March 28, 2013
Report Date
February 26, 2013
Manufacturer
BAUSCH & LOMB
Product Code
HQL
PMA / PMN Number
P990014
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
JA
Reporter Occupation
PHYSICIAN

Narratives

Additional Manufacturer Narrative · 1

THE LENS IS NOT AVAILABLE TO BE RETURNED TO BAUSCH + LOMB. DESPITE ATTEMPTS TO OBTAIN THE LENS LOT NUMBER, IT WAS NOT PROVIDED. THEREFORE, A REVIEW OF THE LOT HISTORY RECORD COULD NOT BE PERFORMED. BASED ON THE CURRENT INFORMATION, THE EXACT ROOT CAUSE OF THE IOL OPACIFICATION CANNOT BE DETERMINED.

Description of Event or Problem · 1

IT WAS REPORTED THAT A HYDROVIEW INTRAOCULAR LENS WAS SCHEDULED TO BE EXPLANTED DUE TO OPACIFICATION. THE LOT AND SERIAL NUMBER WERE NOT PROVIDED, THEREFORE IT HAS NOT BEEN POSSIBLE TO DETERMINE WHETHER THE LENS MODEL IS HYDROVIEW 1.0. ADDITIONAL INFORMATION WAS REQUESTED BUT HAS NOT BEEN RECEIVED TO DATE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
127512 HYDROVIEW INTRAOCULAR LENS HQL / INTRAOCULAR LENS HQL BAUSCH & LOMB H60M

Patients

Seq Age Sex Outcome Treatment
1 Other