FDA Adverse Event Malfunction Summary report: N

SUPERFLEX ASPHERIC

MDR report key: 4360597 · Received April 2, 2014

Report

Report Number
9611165-2014-00046
Event Type
Malfunction
Date Received
April 2, 2014
Report Date
March 26, 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 CASE BY RAYNER INTRAOCULAR LENSES LTD. FOLLOWING CATARACT SURGERY ON (B)(6) 2011 THE PATIENT UNDERWENT A NUMBER OF ADDITIONAL SURGICAL PROCEDURES. THE PATIENT WAS REQUIRED TO UNDERGO A SECOND TRABECULECTOMY AND MMC PROCEDURE AND WAS REHOSPITALISED SIX TIMES IN THE SECOND HALF OF 2013 FOR NEEDLING+5-FU+FORTECORTIN PROCEDURES. PLEASE REFER TO THE ATTACHED DOCUMENT FOR FURTHER INFO. THE PATIENT SUFFERS FROM GLAUCOMA AND RAYNER IS FOLLOWING UP WITH THE HEALTHCARE FACILITY TO ASCERTAIN WHETHER GLAUCOMA IS CHRONIC. ADDITIONAL INFO ON THE PATIENT'S COURSE OF TREATMENT IS ALSO BEING REQUESTED. REMEDIAL, CORRECTIVE AND PREVENTATIVE ACTION WILL BE TAKEN BY THE HEALTHCARE FACILITY. THE HEALTHCARE FACILITY PLAN TO EXPLANT THE SUPERFLEX ASPHERIC 920H IOL. THE SUPERFLEX ASPHERIC 920H IOL WILL BE EXCHANGED FOR A RETROPUPILLAR IRIS CLAW LENS. THE HEALTHCARE FACILITY INTENDS TO SEND HALF OF THE IOL TO RAYNER IOL FOR ANALYSIS. THE HEALTHCARE FACILITY WILL RETAIN THE SECOND HALF AND WILL CARRY OUT THEIR OWN ANALYSIS. OUR REVIEW OF PRODUCTION RECORDS FOR THE SUPERFLEX ASPHERIC 920H IOL BATCH 090E14570 SHOWED THAT ALL MANUFACTURING AND QUALITY CHECKS WERE CONDUCTED WITH SUCCESSFUL RESULTS. ALL LENSES RELEASED FOR DISTRIBUTION FROM THIS BATCH WERE WITHIN TOLERANCE, MET SPECIFICATION CRITERIA AND WERE WITHOUT DEFECTS.

Description of Event or Problem · 1

RAYNER INTRAOCULAR LENSES LIMITED RECEIVED NOTIFICATION VIA ITS (B)(4) DISTRIBUTOR OF AN EVENT THAT OCCURRED FOLLOWING IMPLANTATION OF A SUPERFLEX ASPHERIC 920H INTRAOCULAR LENS (IOL). THE DISTRIBUTOR REPORTS THAT THEY RECEIVED NOTIFICATION OF THE DEVELOPMENT OF OPACIFICATION IN THE OD AND OS EYES OF A PATIENT IN THE POST-OPERATIVE PERIOD. FOR INFO ON THE REPORTED OPACIFICATION OF THE IOL IMPLANTED IN THE OS EYE PLEASE REFER TO RAYNER'S MDR 9611165-2014-00047.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
200514 SUPERFLEX ASPHERIC HQL-INTRAOCULAR LENS HQL RAYNER INTRAOCULAR LENSES LTD. 920H 090E14570

Patients

Seq Age Sex Outcome Treatment
1 Required Intervention