FDA Adverse Event
Injury
Summary report: N
ACRYSOF IQ TORIC
MDR report key: 3223733
·
Received July 10, 2013
Report
- Report Number
- 1119421-2013-00736
- Event Type
- Injury
- Date Received
- July 10, 2013
- Date of Event
- April 11, 2013
- Report Date
- June 12, 2013
- Manufacturer
- ALCON RESEARCH, LTD. / HUNTINGTON
- Product Code
- HQL
- PMA / PMN Number
- P930014
- Removal / Correction Number
- NA
- Adverse Event
- Yes
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- SD, US
- Reporter Occupation
- OTHER
Narratives
Additional Manufacturer Narrative · 1
THE PRODUCT WAS NOT RETURNED FOR ANALYSIS. RESULTS FROM THE PRODUCT HISTORY RECORD REVIEW INDICATED THE PRODUCT MET RELEASE CRITERIA. INVESTIGATION HAS BEEN COMPLETED BASED ON CURRENT INFORMATION. NO FURTHER ACTION IS WARRANTED AT THIS TIME. THERE HAVE BEEN NO OTHER COMPLAINTS REPORTED IN THE LOT NUMBER. ADDITIONAL INFORMATION HAS BEEN REQUESTED. (B)(4).
Description of Event or Problem · 1
AN OPHTHALMIC SURGEON REPORTED FOR A CLINICAL STUDY PATIENT THAT FOLLOWING AN INTRAOCULAR LENS (IOL) IMPLANT PROCEDURE WHO WAS BILATERALLY IMPLANTED, THAT THE LENS ROTATED 33 DEGREES FOR UNKNOWN REASONS. AN IOL REPOSITIONING PROCEDURE WAS PERFORMED. ADDITIONAL INFORMATION IS NOT EXPECTED. THERE ARE TWO MEDICAL DEVICE REPORTS ASSOCIATED WITH THIS EVENT. THIS REPORT IS FOR THE RIGHT EYE.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 316030 | ACRYSOF IQ TORIC | INTRAOCULAR LENS | HQL | ALCON RESEARCH, LTD. / HUNTINGTON | SN6AT8 | 12172783 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | Required Intervention |