FDA Adverse Event Injury Summary report: N

ACRYSOF IQ TORIC

MDR report key: 3223735 · Received July 10, 2013

Report

Report Number
1119421-2013-00752
Event Type
Injury
Date Received
July 10, 2013
Date of Event
January 1, 2013
Report Date
June 15, 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, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

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. ATTEMPTS HAVE BEEN MADE TO OBTAIN ADDITIONAL INFORMATION. A COMPLETED QUESTIONNAIRE HAS NOT BEEN RECEIVED. (B)(4).

Description of Event or Problem · 1

A SURGEON REPORTED AN UNEXPECTED POSTOPERATIVE REFRACTION FOLLOWING AN INTRAOCULAR LENS (IOL) IMPLANT SURGERY. THE SURGEON REPORTED THE OUTCOME WAS PROBABLY DUE TO ISSUES WITH THE BIOMETRY INSTRUMENT. ADDITIONAL INFORMATION HAS BEEN REQUESTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
317639 ACRYSOF IQ TORIC INTRAOCULAR LENS HQL ALCON RESEARCH, LTD. / HUNTINGTON SN6AT4 UNK

Patients

Seq Age Sex Outcome Treatment
1 Other