FDA Adverse Event
Injury
Summary report: N
CRYSTALENS INTRAOCULAR LENS
MDR report key: 4212959
·
Received October 24, 2014
Report
- Report Number
- 2031924-2014-00278
- Event Type
- Injury
- Date Received
- October 24, 2014
- Report Date
- September 25, 2014
- Manufacturer
- BAUSCH + LOMB
- Product Code
- NAA
- PMA / PMN Number
- P030002
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- SC, US
- Reporter Occupation
- PHYSICIAN
Narratives
Additional Manufacturer Narrative · 1
THE LENS REMAINS IMPLANTED, THEREFORE, IT IS NOT AVAILABLE FOR EVALUATION. INVESTIGATION IS UNDERWAY. A SUPPLEMENTAL REPORT WILL BE SUBMITTED UPON COMPLETION OF THE INVESTIGATION.
Description of Event or Problem · 1
IT WAS REPORTED THAT THE PATIENT WAS DISSATISFIED WITH HIS NEAR AND INTERMEDIATE VISION. THE LENS WAS NOTED TO BE VAULTING POSTERIORLY. THE DOCTOR IS EVALUATING TREATMENT OPTIONS. ADDITIONAL INFORMATION HAS BEEN REQUESTED, BUT HAS NOT BEEN RECEIVED. THIS REPORT PERTAINS TO THE PATIENT'S LEFT EYE.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 678053 | CRYSTALENS INTRAOCULAR LENS | LENS, INTRAOCULAR, ACCOMODATIVE | NAA | BAUSCH + LOMB | AT50AO |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 60 YR | Other |