BEUDAMED
    FDA Adverse Event Injury Summary report: N

    CIBA VISION MEMORYLENS

    MDR report key: 422253 · Received October 16, 2002

    Report

    Report Number
    2648694-2002-00096
    Event Type
    Injury
    Date Received
    October 16, 2002
    Date of Event
    August 31, 2002
    Report Date
    September 24, 2002
    Manufacturer
    CIBA VISION CORP.
    Product Code
    HQL
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    TN, US
    Reporter Occupation
    PHYSICIAN

    Narratives

    Description of Event or Problem · 1

    A REPORT WAS RECEIVED 9/24/2002 THAT A DOCTOR HAD IMPLANTED A MEMORYLENS IN A PT'S LEFT EYE IN 1999, WHICH LENS HAS OPACIFIED. THE LENS WAS EXPLANTED AND REPLACED IN 2002. THE PT'S VISUAL ACUITY AT EXAM IN 2002 WAS 20/40 OS. THERE WERE NO COMPLICATIONS REPORTED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 CIBA VISION MEMORYLENS INTRAOCULAR LENS HQL CIBA VISION CORP. U940A *

    Patients

    Seq Age Sex Outcome Treatment
    1 78 YR Other NONE REPORTED