FDA Adverse Event
Malfunction
Summary report: N
UNK
MDR report key: 3476151
·
Received November 5, 2013
Report
- Report Number
- 3003563511-2013-00060
- Event Type
- Malfunction
- Date Received
- November 5, 2013
- Date of Event
- June 14, 2013
- Report Date
- September 30, 2013
- Manufacturer
- RAYNER INTRAOCULAR LENSES LTD.
- Product Code
- HQL
- Product Problem
- Yes
- Report Source
- Distributor report
- Reporter Location
- UK
- Reporter Occupation
- PHYSICIAN
Narratives
Description of Event or Problem · 1
RAYNER INTRAOCULAR LENSES LIMITED RECEIVED NOTIFICATION FROM A (B)(6) HEALTHCARE FACILITY OF AN EVENT THAT OCCURRED DURING USE OF AN UNSPECIFIED RAYNER INTRAOCULAR LENS (IOL). THE EVENT DESCRIPTION PROVIDED INDICATES THAT THE IOL HAPTIC BROKE DURING IMPLANTATION. FOR FURTHER INFORMATION PLEASE REFER TO RAYNER INTRAOCULAR LENSES LIMITED'S MDR REPORT 9611165-2013-00107.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 570702 | UNK | HQL - INTRAOCULAR LENS | HQL | RAYNER INTRAOCULAR LENSES LTD. | UNK | UNK |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |