FDA Adverse Event Injury Summary report: N

SOFPORT ADVANCED OPTIC LENS

MDR report key: 3060336 · Received April 11, 2013

Report

Report Number
1119279-2013-00109
Event Type
Injury
Date Received
April 11, 2013
Date of Event
March 11, 2013
Report Date
March 12, 2013
Manufacturer
BAUSCH & LOMB
Product Code
HQL
PMA / PMN Number
P910061
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
CA, US
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL

Narratives

Additional Manufacturer Narrative · 1

THE LENS HAS BEEN RETURNED TO BAUSCH & LOMB FOR EVALUATION. INVESTIGATION OF THIS EVENT IS IN PROGRESS.

Description of Event or Problem · 1

IT WAS REPORTED THAT THE INTRAOCULAR LENS WAS REMOVED INTRAOPERATIVELY DUE TO HAPTIC DAMAGE. THE INCISION WAS ENLARGED TO REMOVE THE LENS, AND ANOTHER LENS WAS IMPLANTED SUCCESSFULLY. ADDITIONAL INFORMATION HAS BEEN REQUESTED. PLEASE REFERENCE MDR# 1119279-2013-00110 FOR THE DELIVERY DEVICE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
155394 SOFPORT ADVANCED OPTIC LENS HQL/INTRAOCULAR LENS HQL BAUSCH & LOMB LI61AOR 4234603

Patients

Seq Age Sex Outcome Treatment
1 73 YR Other DZ-28 DELIVERY SYSTEM