FDA Adverse Event Injury Summary report: N

ACRYSOF RESTOR IOL

MDR report key: 4892517 · Received July 6, 2015

Report

Report Number
1119421-2015-05757
Event Type
Injury
Date Received
July 6, 2015
Report Date
July 6, 2015
Manufacturer
ALCON RESEARCH, LTD. - HUNTINGTON
Product Code
MFK
PMA / PMN Number
P040020
Removal / Correction Number
NA
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
CA
Reporter Occupation
HEALTH PROFESSIONAL

Narratives

Additional Manufacturer Narrative · 1

PRODUCT EVALUATION: THE PRODUCT WAS NOT RETURNED FOR ANALYSIS. COMPLAINT HISTORY AND PRODUCT HISTORY RECORD COULD NOT BE REVIEWED BECAUSE THE REPORTING FACILITY DID NOT PROVIDE A VALID LOT NUMBER OR ANY IDENTIFICATION TRACEABLE TO THE MANUFACTURING DOCUMENTATION. ROOT CAUSE HAS NOT BEEN IDENTIFIED. ATTEMPTS TO GATHER ADDITIONAL INFORMATION HAVE BEEN UNSUCCESSFUL. (B)(4).

Description of Event or Problem · 1

AN OPTOMETRIST REPORTED MULTIPLE PATIENTS WITH COMPLAINTS OF INADEQUATE READING VISION FOLLOWING INTRAOCULAR LENS (IOL) IMPLANT PROCEDURES. THE PATIENTS ALSO COMPLAINED OF ABERRATIONSIN VISION WHILE DRIVING AT NIGHT. THE DOCTOR REPORTED THAT THE BENEFITS OF CORRECTIVE LENSES IS RESTRICTED DUE TO THE OPTICS PASSING THROUGH THE LENS.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
435475 ACRYSOF RESTOR IOL LENS, MULTIFOCAL INTRAOCULAR MFK ALCON RESEARCH, LTD. - HUNTINGTON ASKU ASKU

Patients

Seq Age Sex Outcome Treatment
1 Other