FDA Adverse Event Malfunction Summary report: N

NLCON POSTERIOR CHAMBER LENS

MDR report key: 3721 · Received July 10, 1992

Report

Report Number
3721
Event Type
Malfunction
Date Received
July 10, 1992
Date of Event
January 7, 1992
Report Date
March 2, 1992
Manufacturer
ALCON SURGICAL INC
Product Code
HQH
Product Problem
Yes
Report Source
User Facility report

Narratives

Description of Event or Problem · 1

WHEN PLACING AN ALCON IOL IN THE RIGHT POSTERIOR CHAMBER OF THE EYE, ONE OF THE HAPTIC BROKE OFF. THIS REQUIRED THE REMOVAL OF THE IMPLANT. IT WAS REMOVED WITHOUT PROBLEM AND A NEW IMPLANT WAS INSERTED IN THE POSTERIOR OF THE RIGHT EYE. BROKEN IMPLANT WAS RETURNED TO THE VENDOR.DEVICE LABELED FOR SINGLE USE. PATIENT MEDICAL STATUS PRIOR TO EVENT: SATISFACTORY CONDITION. THERE WAS NOT MULTIPLE PATIENT INVOLVEMENT.DEVICE SERVICED IN ACCORDANCE WITH SERVICE SCHEDULE. DATE LAST SERVICED: . SERVICE PROVIDED BY: INVALID DATA. INVALID DATA - SERVICE RECORDS AVAILABILITY. NO IMMINENT HAZARD TO PUBLIC HEALTH CLAIMED. DEVICE USED AS LABELED/INTENDED.DEVICE WAS EVALUATED AFTER THE EVENT. METHOD OF EVALUATION: ACTUAL DEVICE INVOLVED IN INCIDENT WAS EVALUATED, VISUAL EXAMINATION. RESULTS OF EVALUATION: COMPONENT FAILURE, TELEMETRY FAILURE, UNANTICIPATED SHORT TERM COMPLICATION OF PROCEDURE, INVALID DATA. CONCLUSION: DEVICE FAILURE OCCURRED AND WAS RELATED TO EVENT, DEVICE WAS OUT OF SPEC IN A MANNER THAT RELATES TO EVENT. CERTAINTY OF DEVICE AS CAUSE OF OR CONTRIBUTOR TO EVENT: YES. CORRECTIVE ACTIONS: DEVICE PERMANENTLY REMOVED FROM SERVICE, DEVICE RETURNED TO MANUFACTURER/DEALER/DISTRIBUTOR. THE DEVICE WAS NOT DESTROYED/DISPOSED OF.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 NLCON POSTERIOR CHAMBER LENS Implant POSTERIOR CHAMBER LENS HQH ALCON SURGICAL INC MZ60BD NONE

Patients

Seq Age Sex Outcome Treatment
1 75 YR Other