FDA Adverse Event
Injury
Summary report: N
ACRYSOF IQ TORIC
MDR report key: 3181568
·
Received June 17, 2013
Report
- Report Number
- 1119421-2013-00666
- Event Type
- Injury
- Date Received
- June 17, 2013
- Date of Event
- May 1, 2013
- Report Date
- May 20, 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
- CA
- 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. THERE ARE TWO OTHER COMPLAINTS REPORTED IN THE LOT. ADDITIONAL INFO HAS BEEN REQUESTED. (B)(4).
Description of Event or Problem · 1
A SURGEON REPORTED AN UNEXPECTED OUTCOME FOLLOWING INTRAOCULAR LENS (IOL) IMPLANT SURGERY. ADDITIONAL INFO WAS RECEIVED FROM THE SURGEON, WHO REPORTED THE UNEXPECTED OUTCOME WAS DUE TO CORNEAL ISSUES AND IS NOT A LENS ISSUE. NO INFO WAS RECEIVED AS TO THE CAUSE OF THE CORNEAL ISSUES.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 273126 | ACRYSOF IQ TORIC | INTRAOCULAR LENS | HQL | ALCON RESEARCH, LTD./HUNTINGTON | SN6AT6 | 12059814 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 77 YR | Other |