FDA Adverse Event Other Summary report: N

ACRYSOF

MDR report key: 799113 · Received December 14, 2006

Report

Report Number
1119421-2006-00414
Event Type
Other
Date Received
December 14, 2006
Date of Event
November 9, 2006
Report Date
November 14, 2006
Manufacturer
ALCON MANUFACTURING, INC. / HUNTINGTON
Product Code
HQL
Removal / Correction Number
NA
Adverse Event
Yes
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
BE
Reporter Occupation
PHYSICIAN

Narratives

Additional Manufacturer Narrative · 1

H.3., 6.: THE COMPLAINT DEVICE ASSOCIATED WITH THIS REPORT HAS NOT BEEN RECEIVED FOR EVALUATION. THE DEVICE REMAINS IMPLANTED. 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 REPORTS THAT FOLLOWING INTRAOCULAR LENS (IOL) IMPLANTATION, THE SURGEON OBSERVED THE HAPTIC WAS STUCK ON THE SURFACE OF THE LENS. THE DECISION WAS MADE TO LEAVE THE IOL IN PLACE. DURING A POSTOPERATIVE EXAMINATION, IT WAS NOTED THAT THE PATIENT DID NOT HAVE 100% VISUAL FIELD AND THE HAPTIC CONTINUED TO BE STUCK ON THE LENS OPTIC. ADDITIONAL INFORMATION HAS BEEN REQUESTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 ACRYSOF INTRAOCULAR LENS HQL ALCON MANUFACTURING, INC. / HUNTINGTON SA60AT UNK

Patients

Seq Age Sex Outcome Treatment
1 NO INFO Other