FDA Adverse Event Other Summary report: N

NI

MDR report key: 789742 · Received November 30, 2006

Report

Report Number
1119421-2006-00392
Event Type
Other
Date Received
November 30, 2006
Report Date
October 31, 2006
Manufacturer
ALCON LABORATORIES, INC./ HUNTINGTON
Product Code
HQL
Removal / Correction Number
NA
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
MO, US
Reporter Occupation
PHYSICIAN

Narratives

Additional Manufacturer Narrative · 1

H.3., 6.: THE COMPLAINT DEVICE ASSOCIATED WITH THIS REPORT HAS NOT BEEN RECEIVED FOR EVALUATION. PRODUCT HISTORY RECORDS COULD NOT BE REVIEWED BECAUSE THE REPORTER DID NOT PROVIDE A LENS SERIAL NUMBER, LOT NUMBER, OR ANY IDENTIFICATION TRACEABLE TO THE MANUFACTURING DOCUMENTATION.

Description of Event or Problem · 1

A SURGEON REPORTED HE HAS SEVERAL PATIENTS WITH NEGATIVE DYSPHOTOPSIA FOLLOWING INTRAOCULAR LENS IMPLANT SURGERY. ADDITIONAL INFO HAS BEEN REQUESTED INCLUDING THE NUMBER OF PATIENTS AFFECTED AND THE INTRAOCULAR LENS MODEL(S) USED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 NI INTRAOCULAR LENS HQL ALCON LABORATORIES, INC./ HUNTINGTON NI NI

Patients

Seq Age Sex Outcome Treatment
1 NO INFO