FDA Adverse Event
Injury
Summary report: N
SENSAR
MDR report key: 3933372
·
Received July 14, 2014
Report
- Report Number
- 2648035-2014-00343
- Event Type
- Injury
- Date Received
- July 14, 2014
- Date of Event
- May 21, 2014
- Report Date
- June 10, 2014
- Manufacturer
- ABBOTT MEDICAL OPTICS
- Product Code
- HQL
- PMA / PMN Number
- P980040
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- PA, US
- Reporter Occupation
- PHYSICIAN
Narratives
Additional Manufacturer Narrative · 1
(B)(4). ALL PERTINENT INFORMATION AVAILABLE TO ABBOTT MEDICAL OPTICS HAS BEEN SUBMITTED. PLACEHOLDER.
Additional Manufacturer Narrative · 1
(B)(4). ALL PERTINENT INFORMATION AVAILABLE TO ABBOTT MEDICAL OPTICS HAS BEEN SUBMITTED. PLACEHOLDER.
Description of Event or Problem · 1
IT WAS REPORTED THAT AN INTRAOCULAR LENS (IOL) WAS IMPLANTED AND REMOVED FROM THE EYE OF A PATIENT IN THE SAME PROCEDURE, DUE TO POOR DILATION. IT WAS FURTHER STATED THAT THE LENS WAS CUT OUT AND THE INCISION WAS ENLARGED. THE IOL FELL ON THE FLOOR AND WAS REPORTED TO BE LOST. THE OUTCOME DID NOT SIGNIFICANTLY INTERFERE WITH PATIENT'S DAILY ACTIVITIES AND THE PATIENT WAS REPORTED TO HAVE RECOVERED. NO FURTHER INFORMATION HAS BEEN PROVIDED.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 409453 | SENSAR | MONOFOCAL IOLS | HQL | ABBOTT MEDICAL OPTICS | AR40E |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | Required Intervention |