FDA Adverse Event
Other
Summary report: N
CIBA VISION MEMORYLENS
MDR report key: 351161
·
Received September 11, 2001
Report
- Report Number
- 2648166-2001-00031
- Event Type
- Other
- Date Received
- September 11, 2001
- Date of Event
- June 25, 2001
- Report Date
- September 11, 2001
- Manufacturer
- CIBA VISION CORP.
- Product Code
- HQL
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- KY, US
- Reporter Occupation
- NURSE
Narratives
Description of Event or Problem · 1
A REPORT WAS RECEIVED IN 08/2001 FROM THE OPERATING ROOM CHARGE NURSE AT THE HOSP, STATING THAT A MEMORYLENS HAD BEEN IMPLANTED IN PT'S RIGHT EYE 2 MONTHS PRIOR. THE PT PRESENTED FOR EXAMINATION ON 4TH DAY POST IMPLANT AND WAS DIAGNOSED WITH HYPOPYON AND INTRAOCULAR INFECTION. A VITREOUS ASPIRATION (TAP) WAS PERFORMED ON THE PT'S EYE FOR A CULTURE FOR EXAMINATION AND DIAGNOSIS: THE CULTURE SHOWED STAPHYLOCOCCUS EPIDERMIDIS. THE PT WAS PUT ON STEROIDS AND ANTIBIOTICS. THE PT'S VISUAL ACUITY AS OF 08/2001 WAS 20/80 OD. THE SURGEON'S PROGNOSIS FOR THE PT WAS LISTED AS FAIR.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 41190 | CIBA VISION MEMORYLENS | INTRAOCULAR LENS | HQL | CIBA VISION CORP. | U940S1 | M577827 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 73 YR | Other | NONE REPORTED. |