FDA Adverse Event Injury Summary report: N

ACRYSOF IQ TORIC

MDR report key: 3760904 · Received April 9, 2014

Report

Report Number
1119421-2014-00242
Event Type
Injury
Date Received
April 9, 2014
Date of Event
February 1, 2014
Report Date
March 12, 2014
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
NY, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

THE PRODUCT WAS NOT RETURNED FOR ANALYSIS. THE SERIAL NUMBER WAS PROVIDED. RESULTS FROM THE PRODUCT HISTORY RECORD REVIEW INDICATED THE PRODUCT MET RELEASE CRITERIA. THE PRODUCT INVESTIGATION COULD NOT IDENTIFY A ROOT CAUSE. THERE HAVE BEEN NO OTHER COMPLAINTS REPORTED IN THE LOT NUMBER. ATTEMPTS HAVE BEEN MADE TO OBTAIN ADDITIONAL INFORMATION BY PHONE, FAX, AND MAIL. A COMPLETED QUESTIONNAIRE WAS NOT RECEIVED. (B)(4).

Description of Event or Problem · 1

A SURGEON REPORTED FOLLOWING AN INTRAOCULAR LENS (IOL) IMPLANT PROCEDURE, THAT A PT PRESENTED WITH AN UNEXPECTED OUTCOME OF RESIDUAL ASTIGMATISM. THE IOL CORRECTED VERY LITTLE ASTIGMATISM. ADDITIONAL INFORMATION HAS BEEN REQUESTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
213277 ACRYSOF IQ TORIC INTRAOCULAR LENS HQL ALCON RESEARCH. LTD / HUNTINGTON SN6AT8 12084712

Patients

Seq Age Sex Outcome Treatment
1 69 YR Other