FDA Adverse Event Injury Summary report: N

ACRYSOF TORIC

MDR report key: 3152615 · Received June 5, 2013

Report

Report Number
1119421-2013-00596
Event Type
Injury
Date Received
June 5, 2013
Date of Event
January 25, 2013
Report Date
May 10, 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
WA, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

EVALUATION 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 MANUFACTURING DOCUMENTATION. THE PRODUCT INVESTIGATION COULD NOT IDENTIFY A ROOT CAUSE. NOT ENOUGH INFORMATION WAS PROVIDED FROM THE ACCOUNT FOR FURTHER INVESTIGATION. ADDITIONAL INFORMATION HAS BEEN REQUESTED. MEDICAL RECORDS WERE RECEIVED ON (B)(4) 2013. (B)(4).

Description of Event or Problem · 1

A SURGEON REPORTED A PATIENT WITH AN UNEXPECTED OUTCOME FOLLOWING INTRAOCULAR LENS (IOL) IMPLANT SURGERY. MEDICAL RECORDS WERE RECEIVED AND REVIEWED. THE PATIENT REPORTED DECREASED VISUAL ACUITY AND BLURRY VISION AT TWO WEEKS POSTOPERATIVE. AT THE TWO AND ONE HALF MONTH POSTOPERATIVE VISIT, THE PATIENT REPORTED HE WAS DISAPPOINTED WITH HIS DEPTH PERCEPTION AND WAS SEEING SHADOWS. AT THIS VISIT, THE SURGEON'S DIAGNOSIS WAS ANISOMETROPIA, AS THE FELLOW EYE IS PHAKIC WITH A CATARACT. ADDITIONAL INFORMATION HAS BEEN REQUESTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
247892 ACRYSOF TORIC INTRAOCULAR LENS HQL ALCON RESEARCH, LTD. / HUNTINGTON UNK UNK

Patients

Seq Age Sex Outcome Treatment
1 Other