FDA Adverse Event Other Summary report: N

NOT AVAILABLE

MDR report key: 3919544 · Received June 10, 2014

Report

Report Number
9611165-2014-00057
Event Type
Other
Date Received
June 10, 2014
Report Date
June 2, 2014
Manufacturer
RAYNER INTRAOCULAR LENSES LTD.
Product Code
HQL
PMA / PMN Number
P060011
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
LE
Reporter Occupation
NOT APPLICABLE

Narratives

Additional Manufacturer Narrative · 1

RAYNER INTRAOCULAR LENSES LIMITED HAS ALLOCATED THE REF: (B)(4) TO THIS CASE. THE IOL WAS EXPLANTED BY THE HEALTHCARE PROFESSIONAL DUE TO THE DEVELOPMENT OF OPACIFICATION. THE LENS WAS RETAINED AND HAS BEEN RETURNED TO RAYNER FOR ANALYSIS. THE LENS WILL BE SENT TO AN INDEPENDENT THIRD PARTY LABORATORY FOR ANALYSIS. THE INDEPENDENT LABORATORY ANALYSIS WILL INCLUDE STRUCTURAL AND ULTRASTRUCTURAL ANALYSIS (LIGHT MICROSCOPY, SCANNING ELECTRON MICROSCOPY AND ENERGY DISPERSIVE X-RAY FLUORESCENCE SPECTROSCOPY (EDX) ). THE RESULTS OF THE ANALYSIS PERFORMED WILL BE PROVIDED IN A F/U REPORT. IN ORDER TO FULLY INVESTIGATE THE REPORTED DEVELOPMENT OF IOL OPACIFICATION ADD'L INFO HAS BEEN REQUESTED. THE DISTRIBUTOR IS COORDINATING THE F/U ACTIVITIES WITH THE REPORTING HEALTHCARE PROFESSIONAL. THE HEALTHCARE PROFESSIONAL HAS BEEN ASKED TO PROVIDE INFO SUCH AS RELEVANT PT MEDICAL HISTORY, CONCOMITANT MEDICATIONS, INFO ON ANY ADD'L SURGICAL PROCEDURES THE PT MAY HAVE UNDERGONE SINCE CATARACT SURGERY AND A LIST OF SUBSTANCES THAT MAY HAVE COME INTO CONTACT WITH THE IOL DURING ANY SURGICAL PROCEDURES. TO DATE, NO INFO OTHER THAN THAT HAS BEEN PROVIDED TO RAYER. ANY ADD'L INFO RECEIVED BY RAYNER AND THE RESULTS OF ANY INVESTIGATION ACTIONS CARRIED OUT AFTER THIS TIME WILL BE PROVIDED IN A F/U REPORT.

Description of Event or Problem · 1

RAYNER INTRAOCULAR LENSES LIMITED RECEIVED NOTIFICATION FROM THE DISTRIBUTOR IN (B)(6) OF AN EVENT THAT OCCURRED FOLLOWING IMPLANTATION OF AN UNSPECIFIED RAYNER IOL. THE EVENT DESCRIPTION PROVIDED TO RAYNER STATES THAT THE HEALTHCARE PROFESSIONAL OBSERVED THE POST-OPERATIVE DEVELOPMENT OF OPACIFICATION.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
338721 NOT AVAILABLE HQL: INTRAOCULAR LENS HQL RAYNER INTRAOCULAR LENSES LTD. NA NA

Patients

Seq Age Sex Outcome Treatment
1