FDA Adverse Event Injury Summary report: N

ACRYSOF IQ TORIC

MDR report key: 3770898 · Received December 19, 2013

Report

Report Number
1119421-2013-01255
Event Type
Injury
Date Received
December 19, 2013
Date of Event
January 1, 2013
Report Date
December 3, 2013
Manufacturer
ALCON RESEARCH, LTD. / HUNTINGTON
Product Code
HQL
PMA / PMN Number
P930014
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
IL, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

EVALUATION SUMMARY: THE PRODUCT WAS NOT RETURNED FOR ANALYSIS. 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 WAS NOT RETURNED AND NOT ENOUGH INFORMATION WAS PROVIDED FROM THE ACCOUNT FOR FURTHER INVESTIGATION. 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 A PATIENT WITH AN UNEXPECTED OUTCOMES FOLLOWING A TORIC INTRAOCULAR LENS (IOL) IMPLANT PROCEDURES. THE CYLINDER WAS NOT CORRECTED AS EXPECTED. ADDITIONAL INFORMATION HAS BEEN REQUESTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
667589 ACRYSOF IQ TORIC INTRAOCULAR LENS HQL ALCON RESEARCH, LTD. / HUNTINGTON UNK UNK

Patients

Seq Age Sex Outcome Treatment
1 Other