FDA Adverse Event Injury Summary report: N

ACRYSOF IQ TORIC

MDR report key: 4132660 · Received September 24, 2014

Report

Report Number
1119421-2014-00741
Event Type
Injury
Date Received
September 24, 2014
Date of Event
July 21, 2014
Report Date
August 29, 2014
Manufacturer
ALCON RESEARCH, LTD/HUNTINGTON
Product Code
HQL
PMA / PMN Number
P930014
Adverse Event
Yes
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
KS, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

EVALUATION SUMMARY: THE PRODUCT WAS NOT RETURNED FOR ANALYSIS; THE LENS REMAINS IMPLANTED. THE PRODUCT HISTORY AND BATCH RECORDS WERE REVIEWED AND DOCUMENTATION INDICATED THE PRODUCT MET RELEASE CRITERIA. ROOT CAUSE HAS NOT BEEN IDENTIFIED. THERE HAVE BEEN NO OTHER COMPLAINTS REPORTED IN THE LOT NUMBER. ATTEMPTS HAVE BEEN MADE TO OBTAIN ADDITIONAL INFORMATION BY PHONE AND EMAIL. A COMPLETED QUESTIONNAIRE WAS NOT RECEIVED. (B)(4).

Description of Event or Problem · 1

A SURGEON REPORTED THAT FOLLOWING AN INTRAOCULAR LENS (IOL) IMPLANT SURGERY, A PATIENT HAD AN UNEXPECTED POSTOPERATIVE REFRACTION AND THE LENS WAS NOT AT THE INTENDED ORIENTATION. THE TARGET WAS PLANO AND THE OUTCOME WAS +1.75 -4.00X27. THE INTENDED ORIENTATION WAS 86 DEGREES AND THE POSTOPERATIVE ORIENTATION WAS 57 DEGREES. ADDITIONAL INFORMATION WAS REQUESTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
595601 ACRYSOF IQ TORIC INTRAOCULAR LENS HQL ALCON RESEARCH, LTD/HUNTINGTON SN6AT9 12238547

Patients

Seq Age Sex Outcome Treatment
1 69 YR Other