FDA Adverse Event Injury Summary report: N

TRULIGN TORIC POSTERIOR CHAMBER IOL

MDR report key: 6062671 · Received October 27, 2016

Report

Report Number
0001313525-2016-00495
Event Type
Injury
Date Received
October 27, 2016
Report Date
September 30, 2016
Manufacturer
BAUSCH + LOMB
Product Code
MJP
PMA / PMN Number
P030002
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
MA, US
Reporter Occupation
PHYSICIAN

Narratives

Additional Manufacturer Narrative · 1

INVESTIGATION OF THIS EVENT IS IN PROGRESS. A SUPPLEMENTAL REPORT WILL BE SUBMITTED UPON COMPLETION OF THE INVESTIGATION.

Additional Manufacturer Narrative · 1

THE LOT NUMBER OF THE LENS WAS NOT PROVIDED, AND THE LENS WAS NOT RETURNED TO THE MANUFACTURER FOR EVALUATION. THEREFORE, A DEVICE HISTORY REVIEW (DHR) AND PRODUCT EVALUATION COULD NOT BE CONDUCTED. BASED ON THE INFORMATION AVAILABLE, THE ROOT CAUSE OF THE REPORTED EVENT COULD NOT BE DETERMINED.

Description of Event or Problem · 1

IT WAS REPORTED THAT LENS VAULTED (Z SYNDROME) APPROXIMATELY 6 MONTHS POST LENS IMPLANT. THERE IS ALSO VERY TIGHT FIBROSIS. THE SURGEON IS EVALUATING TREATMENT OPTIONS. INVESTIGATION OF THIS EVENT IS IN PROGRESS. A SUPPLEMENTAL REPORT WILL BE SUBMITTED UPON COMPLETION OF THE INVESTIGATION.

Description of Event or Problem · 1

ADDITIONAL INFORMATION RECEIVED: THE LENS IS SCHEDULED FOR EXPLANT POST-OP PATIENT APPOINTMENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
711266 TRULIGN TORIC POSTERIOR CHAMBER IOL LENS, INTRAOCULAR, TORIC OPTICS MJP BAUSCH + LOMB BL1UT

Patients

Seq Age Sex Outcome Treatment
1 Other