FDA Adverse Event Other Summary report: N

NOT AVAILABLE

MDR report key: 3772086 · Received April 14, 2014

Report

Report Number
9611165-2014-00048
Event Type
Other
Date Received
April 14, 2014
Report Date
April 7, 2014
Manufacturer
RAYNER INTRAOCULAR LENSES LTD.
Product Code
HQL
PMA / PMN Number
P060011
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
SF
Reporter Occupation
NOT APPLICABLE

Narratives

Additional Manufacturer Narrative · 1

THE REFERENCE (B)(4) HAS BEEN ALLOCATED TO THIS CASE BY RAYNER INTRAOCULAR LENSES LIMITED. IN ORDER TO INVESTIGATE THE REPORT OF THE LENS BECOMING DULL IN THE CENTRE, ADDITIONAL INFO ON THE PATIENT'S MEDICAL HISTORY (INCLUDING ONGOING TREATMENT) AND DETAILED INFO ON THE SURGICAL PROCEDURES THAT THE PT HAS UNDERGONE AND THE SUBSTANCES INTRODUCED INTO THE EYE DURING THESE PROCEDURES, HAS BEEN REQUESTED. RAYNER IFU'S CONTRAINDICATE ACTIVE OCULAR DISEASES (CHRONIC SEVERE UVEITIS, PROLIFERATIVE DIABETIC RETINOPATHY, CHRONIC GLAUCOMA NOT RESPONSIVE TO MEDICATION) AND CORNEAL DECOMPENSATION OR ENDOTHELIAL INSUFFICIENCY. THE HEALTHCARE PROFESSIONAL HAS BEEN ASKED TO SPECIFY THE REASON FOR DSAEK SURGERY. THE REPORTING HEALTHCARE PROFESSIONAL HYPOTHESIS IS THAT THE SF6 GAS INTERACTS WITH THE MATERIAL OF THE LENS CAUSING THE DULL EFFECT HE HAS OBSERVED IN THE CENTRE OF THE IOL. THE RESULTS OF OUR FOLLOW-UP ACTIONS WILL BE PROVIDED IN A FOLLOW UP REPORT.

Description of Event or Problem · 1

RAYNER INTRAOCULAR LENSES LIMITED RECEIVED NOTIFICATION FROM THE (B)(4) DISTRIBUTOR OF AN EVENT THAT OCCURRED FOLLOWING IMPLANTATION OF AN UNSPECIFIED RAYNER INTRAOCULAR LENS (IOL). THE EVENT DESCRIPTION RECEIVED AS PROVIDED TO THE DISTRIBUTOR BY THE HEALTHCARE PROFESSIONAL STATES THAT THE CENTRE OF THE IMPLANTED LENS WAS FOUND TO BECOME "DULL" FOLLOWING DSAEK SURGERY AND INSERTION OF SF6 GAS.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
228087 NOT AVAILABLE HQL RAYNER INTRAOCULAR LENSES LTD. NOT AVAILABLE NOT AVAILABLE

Patients

Seq Age Sex Outcome Treatment
1 Required Intervention