FDA Adverse Event Injury Summary report: N

ACRYSOF TORIC

MDR report key: 3032499 · Received April 1, 2013

Report

Report Number
1119421-2013-00336
Event Type
Injury
Date Received
April 1, 2013
Date of Event
February 1, 2013
Report Date
March 2, 2013
Manufacturer
ALCON RESEARCH, LTD. / HUNTINGTON
Product Code
HQL
PMA / PMN Number
P930014
Removal / Correction Number
NA
Adverse Event
Yes
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
NC, US
Reporter Occupation
NOT APPLICABLE

Narratives

Additional Manufacturer Narrative · 1

EVAL SUMMARY: THE PRODUCT WAS NOT RETURNED FOR ANALYSIS. THE PRODUCT HISTORY RECORDS COULD NOT BE REVIEWED BECAUSE THE REPORTING FACILITY DID NOT PROVIDE A LOT NUMBER OR ANY IDENTIFICATION TRACEABLE TO THE MFG DOCUMENTATION. THE PRODUCT INVESTIGATION COULD NOT IDENTIFY A ROOT CAUSE. NOT ENOUGH INFO WAS PROVIDED FOR FURTHER INVESTIGATION. (B)(4).

Description of Event or Problem · 1

A CONSUMER REPORTED BLURRED VISION DUE TO HAVING "AN INCORRECT REFRACTION LENS IMPLANTED", FOLLOWING INTRAOCULAR LENS (IOL) IMPLANT SURGERY. ADDITIONAL INFO RECEIVED FOR THE CONSUMER INDICATED THAT HIS SURGEON DIAGNOSED HIM WITH A ROTATED LENS. THE SURGEON PERFORMED A CORRECTIVE SURGICAL PROCEDURE IN WHICH THE IOL WAS ROTATED 30 DEGREES. THE CONSUMER DID NOT PROVIDE CONTACT INFO FOR THE IMPLANTING SURGEON; THEREFORE, ADDITIONAL INFO COULD NOT BE REQUESTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
132008 ACRYSOF TORIC INTRAOCULAR LENS HQL ALCON RESEARCH, LTD. / HUNTINGTON UNK UNK

Patients

Seq Age Sex Outcome Treatment
1 Required Intervention