FDA Adverse Event
Injury
Summary report: N
ACRYSOF
MDR report key: 3771002
·
Received December 18, 2013
Report
- Report Number
- 9612169-2015-00005
- Event Type
- Injury
- Date Received
- December 18, 2013
- Date of Event
- October 1, 2013
- Report Date
- November 25, 2013
- Manufacturer
- ALCON LABORATORIES IRELAND, LTD.
- Product Code
- HQL
- PMA / PMN Number
- P930014
- Removal / Correction Number
- NA
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- LA, US
- Reporter Occupation
- OTHER
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 663894 | ACRYSOF | INTRAOCULAR LENS | HQL | ALCON LABORATORIES IRELAND, LTD. | SN60WF | 21073468 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 83 YR | Other |