FDA Adverse Event Injury Summary report: N

C-FLEX ADVANCE ASPHERIC

MDR report key: 4281266 · Received November 13, 2014

Report

Report Number
9611165-2014-00079
Event Type
Injury
Date Received
November 13, 2014
Report Date
November 11, 2014
Manufacturer
RAYNER INTRAOCULAR LENSES LTD.
Product Code
HQL
PMA / PMN Number
P060011
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
AU
Reporter Occupation
NOT APPLICABLE

Narratives

Additional Manufacturer Narrative · 1

THE REFERENCE (B)(4) HAS BEEN ALLOCATED TO THIS EVENT BY RAYNER. THE INFO RECEIVED FROM RAYNER'S (B)(4) PARTNER STATES THAT THE HEALTHCARE FACILITY INITIALLY SUSPECTED THAT THE PT WAS SUFFERING FROM ENDOPHTHALMITIS. FURTHER INVESTIGATION OF THE EVENT BY THE HEALTHCARE FACILITY DETERMINED THAT FIBRIN REACTION HAD DEVELOPED POST-OPERATIVELY. THE HEALTHCARE FACILITY HAS CONFIRMED THAT THEY HAVE SUCCESSFULLY TREATED AND RESOLVED THE OBSERVED FIBRIN REACTION. THE VA OF THE PT POST TREATMENT IS 1.0. THE PT IS REPORTED TO BE "IN WELL CONDITION AGAIN." FIBRIN REACTION IS LISTED AS A COMPLICATION RELATED TO IOL SURGERY IN THE C-FLEX ADVANCE ASPHERIC IFU. RAYNER IS LIAISING WITH ITS (B)(4) PARTNER TO OBTAIN ADDITIONAL INFO ON THE REPORT OF FIBRIN REACTION IN ORDER TO DETERMINE THE CAUSE OF OR THE FACTORS CONTRIBUTING TO THE INCIDENT. OUR REVIEW OF PRODUCT RECORDS FOR THE C-FLEX ADVANCE ASPHERIC ADV970 IOL BATCH (B)(4) SHOWED THAT ALL MFG AND QUAL CHEFKS WERE CONDUCTED WITH SUCCESSFUL RESULTS. ALL LENSES RELEASED FOR DISTRIBUTION FROM THIS BATCH WERE WITHIN TOLERANCE, MET SPECIFICATION CRITERIA AND WERE WITHOUT DEFECTS. NO OTHER INCIDENTS, OF ANY TYPE, HAVE BEEN RECEIVED AGAINST THE C-FLEX ADVANCE ASPHERIC ADV970 IOL BATCH (B)(4).

Description of Event or Problem · 1

RAYNER INTRAOCULAR LENSES LIMITED RECEIVED NOTIFICATION FROM ITS (B)(4) PARTNER OF AN EVENT THAT OCCURRED FOLLOWING IMPLANTATION OF A C-FLEX ADVANCE ASPHERIC ADV970 IOL. THE EVENT DESCRIPTION PROVIDED STATES THAT FIBRIN REACTION WAS OBSERVED IN THE POST-OPERATIVE PERIOD.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
732201 C-FLEX ADVANCE ASPHERIC INTRAOCULAR LENS HQL RAYNER INTRAOCULAR LENSES LTD. ADV970 093E51355

Patients

Seq Age Sex Outcome Treatment
1 54 YR Required Intervention VANCOMYCIN| GENTAX GEL| BETNESOL GEL (CORTISONE)| FLOXAL GEL| CEFTAZIDIME