FDA Adverse Event Injury Summary report: N

CRYSTALENS ACCOMMDATING IOL

MDR report key: 3113751 · Received May 10, 2013

Report

Report Number
2031924-2013-00087
Event Type
Injury
Date Received
May 10, 2013
Date of Event
February 28, 2013
Report Date
April 10, 2013
Manufacturer
BAUSCH + LOMB
Product Code
NAA
PMA / PMN Number
P030002
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
NY, US
Reporter Occupation
PHYSICIAN

Narratives

Additional Manufacturer Narrative · 1

INVESTIGATION OF THIS EVENT IS IN PROGRESS. A SUPPLEMENTAL REPORT WILL BE SUBMITTED UPON COMPLETION OF THE INVESTIGATION.

Description of Event or Problem · 1

IT WAS REPORTED THAT ASYMMETRICAL LENS VAULTING WAS NOTED APPROXIMATELY 6 WEEKS POST IMPLANTATION. THE SURGEON REPOSITIONED THE LENS WITH NO COMPLICATIONS. LENS VAULTING WAS NOTED AGAIN AT ONE MONTH AFTER THE REPOSITIONING. THE SURGEON CUT AND EXPLANTED THE LENS THREE MONTHS POST IMPLANT TO ADDRESS THE ISSUE. THE LENS WAS DISCARDED OF BY THE USER FACILITY.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
205323 CRYSTALENS ACCOMMDATING IOL NAA/LENS, INTRAOCULAR, ACCOMODATIVE NAA BAUSCH + LOMB AT50AO

Patients

Seq Age Sex Outcome Treatment
1 63 YR Other