FDA Adverse Event Injury Summary report: N

ACRYSOF

MDR report key: 3121794 · Received May 15, 2013

Report

Report Number
1119421-2013-00519
Event Type
Injury
Date Received
May 15, 2013
Date of Event
February 1, 2013
Report Date
April 19, 2013
Manufacturer
ALCON RESEARCH, LTD. / HUNTINGTON
Product Code
HQL
PMA / PMN Number
P930014
Removal / Correction Number
NA
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
NC, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

EVAL SUMMARY: 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 IDENTIFY A ROOT CAUSE. ATTEMPTS HAVE BEEN MADE TO OBTAIN ADD'L INFO. A COMPLETED QUESTIONAIRE HAS NOT BEEN RECEIVED. THERE HAVE BEEN NO OTHER COMPLAINTS REPORTED IN THE LOT NUMBER. (B)(4).

Description of Event or Problem · 1

AN INFECTION CONTROL COORDINATOR REPORTED THAT FOLLOWING INTRAOCULAR LENS (IOL) IMPLANT SURGERIES, THERE HAVE BEEN A FEW INFECTIONS. ADD'L INFO WAS RECEIVED THAT THERE WERE THREE LENSES INVOLVED IN THESE INFECTIONS. ADD'L INFO WAS RECEIVED FROM THE INFECTION CONTROL COORDINATOR WHO REPORTED THE CASES HAD BEEN REVIEWED IN HOUSE BY AN EPIDEMIOLOGIST IN THE INFECTION CONTROL DEPARTMENT. THEY DID NOT FEEL THE INFECTIONS WERE ATTRIBUTED TO THE LENSES, BUT DID NOT OFFER A CAUSE OR A DESCRIPTION OF THE TYPE OF INFECTIONS. ADD'L INFO HAS BEEN REQUESTED. THERE ARE THREE MEDICAL DEVICE REPORTS ASSOCIATED WITH THIS EVENT. THIS REPORT IS FOR THE THIRD PT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
214977 ACRYSOF INTRAOCULAR LENS HQL ALCON RESEARCH, LTD. / HUNTINGTON SN60WF 12166234

Patients

Seq Age Sex Outcome Treatment
1 Required Intervention