FDA Adverse Event Injury Summary report: N

AKREOS MICRO INCISION INTRAOCULAR LENS

MDR report key: 3875222 · Received May 28, 2014

Report

Report Number
1119279-2014-00104
Event Type
Injury
Date Received
May 28, 2014
Report Date
April 29, 2014
Manufacturer
BAUSCH & LOMB, INC.
Product Code
HQL
PMA / PMN Number
P060022
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
KS
Reporter Occupation
PHYSICIAN

Narratives

Additional Manufacturer Narrative · 1

THE LENS REMAINS IMPLANTED THEREFORE IT IS NOT AVAILABLE FOR EVAL. INVESTIGATION OF THIS EVENT IS IN PROGRESS. A SUPPLEMENTAL REPORT WILL BE SUBMITTED UPON COMPLETION OF THE INVESTIGATION.

Description of Event or Problem · 1

IT WAS REPORTED THAT DURING F/U EXAM WITH SLIT LAMP A WHITE MEMBRANE AROUND THE IOL WAS DETECTED. THE DOCTOR SUSPECTS THE EVENT AS TASS (TOXIC ANTERIOR SEGMENT SYNDROME). TREATMENT INCLUDES ANTIBIOTICS AND ANTERIOR CHAMBER IRRIGATION. THIS REPORT IS IN REFERENCE TO THE PT'S LEFT EYE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
314538 AKREOS MICRO INCISION INTRAOCULAR LENS HQL; INTRAOCULAR LENS HQL BAUSCH & LOMB, INC. MI60 1369621

Patients

Seq Age Sex Outcome Treatment
1 Other