FDA Adverse Event Injury Summary report: N

NOT AVAILABLE

MDR report key: 4338214 · Received December 9, 2014

Report

Report Number
9611165-2014-00083
Event Type
Injury
Date Received
December 9, 2014
Report Date
November 19, 2014
Manufacturer
RAYNER INTRAOCULAR LENSES LTD.
Product Code
HQL
PMA / PMN Number
P060011
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
TW
Reporter Occupation
PHYSICIAN

Narratives

Additional Manufacturer Narrative · 1

(B)(4). RAYNER IFU'S INCLUDE THE CONTRAINDICATION "ACTIVE OCULAR DISEASES (CHRONIC SEVERE UVEITIS, PROLIFERATIVE DIABETIC RETINOPATHY, CHRONIC GLAUCOMA NOT RESPONSIVE TO MEDICATION)". THE INFO RECEIVED FROM THE HEALTHCARE FACILITY SUGGESTS THAT THE PT IS SUFFERING FROM MULTIPLE OCULAR AND OTHER HEALTH PROBLEMS (NVG, DM, RD). THE HEALTHCARE PROFESSIONAL EXPLANTED THE IOL AS A RESULT OF THE DEVELOPMENT OF IOL OPACIFICATION. THE PT IS REPORTED TO HAVE RECEIVED AN ALTERNATE IOL DURING THE EXPLANTATION PROCEDURE. THE VISION OF THE PT POST IOL EXPLANTATION IS REPORTED TO BE 0.05. THE HEALTHCARE PROFESSIONAL HAS CONFIRMED THAT THERE WAS NO INJURY TO THE PT AS A RESULT OF THE REPORTED EVENT. THE EXPLANTED IOL HAS BEEN RETURNED TO RAYNER FOR ANALYSIS. THE DEVICE ANALYSIS WILL BE UNDERTAKEN BY A THIRD PARTY INDEPENDENT LABORATORY. THE RESULTS OF THE DEVICE ANALYSIS WILL BE INCLUDED IN A FOLLOW UP REPORT. THE PT HAS HAD REPEAT BILATERAL OCULAR SURGICAL TRAUMA, WITH OCULAR INFLAMMATION OVER A PROLONGED PERIOD OF TIME. THE COMBINATION OF ENVIRONMENTAL CONDITIONS, MULTIPLE SURGICAL PROCEDURES AND PT HEALTH COULD BE CAUSATIVE FACTORS TO BE DEVELOPMENT OF OPACIFICATION IN THIS CASE.

Description of Event or Problem · 1

RAYNER INTRAOCULAR LENSES LIMITED RECEIVED NOTIFICATION FROM ITS (B)(6) DISTRIBUTOR OF AN EVENT THAT OCCURRED FOLLOWING IMPLANTATION OF AN UNSPECIFIED RAYNER IOL. THE EVENT DESCRIPTION PROVIDED TO RAYNER STATES THAT THE DEVELOPMENT OF IOL OPACIFICATION WAS OBSERVED APPROX 1 YEAR AFTER THE SILICON OIL INFUSION.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
792853 NOT AVAILABLE INTRAOCULAR LENS HQL RAYNER INTRAOCULAR LENSES LTD. NOT AVAILABLE NOT AVAILABLE

Patients

Seq Age Sex Outcome Treatment
1 61 YR Required Intervention CRAVIT,| SINOMIN| TRIAMCINOLONE,| PREDFORTE,