FDA Adverse Event Injury Summary report: N

ACRYSOF IQ TORIC

MDR report key: 3951823 · Received July 2, 2014

Report

Report Number
1119421-2014-00514
Event Type
Injury
Date Received
July 2, 2014
Date of Event
May 6, 2014
Report Date
May 29, 2014
Manufacturer
ALCON RESEARCH, LTD./ HUNTINGTON
Product Code
HQL
PMA / PMN Number
P930014
Removal / Correction Number
NA
Adverse Event
Yes
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
AS
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

THE PRODUCT WAS NOT RETURNED FOR EVALUATION. PRODUCT HISTORY RECORDS WERE REVIEWED AND THE DOCUMENTATION INDICATED THE PRODUCT MET RELEASE CRITERIA. THE PRODUCT INVESTIGATION COULD NOT IDENTIFY A ROOT CAUSE OF THE LENS OFF-AXIS. THERE HAVE BEEN NO OTHER COMPLAINTS REPORTED IN THE LOT NUMBER. (B)(4).

Description of Event or Problem · 1

A SURGEON REPORTED THAT AFTER AN INTRAOCULAR LENS (IOL) IMPLANT PROCEDURE, THE PATIENT HAD POOR VISION. THE SURGEON REPORTED THAT THE IOL WAS TEN DEGREES OF AXIS. THREE WEEKS LATER HE RETURNED TO SURGERY WITH THE PATIENT AND REALIGNED THE IOL. THE REALIGNMENT DID NOT RESOLVE THE EVENT. THE PATIENT ALSO HAD UNEXPECTED SPHERICAL REFRACTIVE OUTCOME THAT WAS CAUSED BY A CALCULATION ERROR DUE TO AN INACCURATE FORMULA ENTRY, WHICH THE SURGEON DISCOVERED AFTER HE HAD REALIGNED THE IOL. THE SURGEON PLANS TO CONTINUE TO MONITOR THE PATIENT TO SEE IF THE FINAL VISION IS SATISFACTORY. ADDITIONAL INFORMATION HAS BEEN REQUESTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
386215 ACRYSOF IQ TORIC INTRAOCULAR LENS HQL ALCON RESEARCH, LTD./ HUNTINGTON SN6AT3 12260781

Patients

Seq Age Sex Outcome Treatment
1 Required Intervention DUOVISC ON