FDA Adverse Event Injury Summary report: N

ACRYSOF RESTOR

MDR report key: 4193241 · Received October 21, 2014

Report

Report Number
1119421-2014-00832
Event Type
Injury
Date Received
October 21, 2014
Date of Event
January 1, 2013
Report Date
September 21, 2014
Manufacturer
ALCON RESEARCH, LTD. / HUNTINGTON
Product Code
HQL
PMA / PMN Number
P040020
Removal / Correction Number
NA
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

EVALUATION SUMMARY: THE PRODUCT WAS NOT RETURNED FOR ANALYSIS; THE DEVICE REMAINS IMPLANTED. COMPLAINT HISTORY AND PRODUCT HISTORY RECORDS COULD NOT HAVE BEEN REVIEWED BECAUSE THE REPORTING FACILITY DID NOT PROVIDED A LOT NUMBER OR ANY IDENTIFIED TRACEABLE TO THE MANUFACTURING DOCUMENTATION. THE PRODUCT INVESTIGATION COULD NOT IDENTIFY A ROOT CAUSE. NOT ENOUGH INFO WAS PROVIDED FROM THE ACCOUNT FOR FURTHER INVESTIGATION. THE REPORTER DID NOT PROVIDE CONTACT INFO FOR THE HEALTHCARE PROFESSIONAL; THEREFORE, FOLLOW UP WAS NOT ABLE TO BE CONDUCTED. (B)(4).

Description of Event or Problem · 1

A CONSUMER REPORTED THAT FOLLOWING BILATERAL INTRAOCULAR LENS (IOL) IMPLANT PROCEDURES, HE HAS EXPERIENCED "EXTREME" GLARE AT NIGHT WHILE DRIVING, LOOKING AT STREET LIGHTS AND LIGHTS FROM OTHER CARS. THE CONSUMER STATED HIS OPHTHALMOLOGIST RECOMMENDED GLASSES; HOWEVER, "THEY DID NOT HELP." THE REPORTER DID NOT PROVIDE ANY CONTACT INFO FOR THE HEALTHCARE PROFESSIONAL; THEREFORE, FOLLOW UP WAS NOT ABLE TO BE CONDUCTED. ADDITIONAL INFO HAS BEEN REQUESTED FROM THE CONSUMER. THERE ARE TWO MEDICAL DEVICE REPORTS ASSOCIATED WITH THIS EVENT. THIS REPORT IS FOR THE FIRST EYE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
669128 ACRYSOF RESTOR INTRAOCULAR LENS HQL ALCON RESEARCH, LTD. / HUNTINGTON UNK UNK

Patients

Seq Age Sex Outcome Treatment
1 Other