FDA Adverse Event Injury Summary report: N

ACRYSOF

MDR report key: 800477 · Received December 21, 2006

Report

Report Number
1119421-2006-00425
Event Type
Injury
Date Received
December 21, 2006
Date of Event
October 1, 2006
Report Date
November 21, 2006
Manufacturer
ALCON LABORATORIES, INC./HUNTINGTON
Product Code
HQL
Removal / Correction Number
NA
Adverse Event
Yes
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
MO, US
Reporter Occupation
PHYSICIAN

Narratives

Additional Manufacturer Narrative · 1

THE IOL REMAINS IMPLANTED. A PIECE OF FOREIGN MATERIAL WAS RETURNED FOR TESTING. TEST RESULTS ARE PENDING AT THIS TIME. RESULTS FROM THE PRODUCT HISTORY RECORD REVIEW INDICATED THE PRODUCT MET RELEASE CRITERIA. THE FOLLOWING ADD'L INFO WAS RECEIVED DURING PHONE FOLLOW-UP ON 12/07/2006: THE SURGEON STATED THE PT WANTED TO BE LEFT MYOPIC, THAT IS WHY HER PRE-OP MR -3.00 + 1.00X090 REMAINED ALMOST THE SAME: POST-OP MR -3.25 + 2.25 X 090 WITH BCVA 20/60. IT WAS DETERMINED THAT THE NEWLY ADDED CYLINDER MAY STEM FROM THE SINGLE STITCH SUTURE THE SURGEON APPLIES ROUTINELY. A POTENTIAL ACUITY METER (PAM) BROUGHT HER UP TO 20/30. FUNDUS VISIBILITY IS POOR. A PHOTO WAS RECEIVED AND REVIEWED BY CLINICAL SCIENCE ON 12/07/2006. IT APPEARED TO CLINICAL SCIENCE THAT THERE IS A STRING-LIKE 'DEPOSIT' OF ABOUT 3MM LENGTH AND PERHAPS 2/10 MM WIDTH LOCATED ON THE ANTERIOR SURFACE FROM 1 O'CLOCK TOWARD 5 O'CLOCK. IT DOES NOT APPEAR TO BE IN THE CENTRAL VISUAL AXIS. THE SURGEON REMOVED THE FOREIGN BODY FROM THE ANTERIOR SURFACE OF THE LENS DURING A FOLLOW-UP VISIT. THE FOREIGN BODY WAS SENT TO US FOR EVALUATION ON DECEMBER 18, 2006. EVALUATION RESULTS ARE PENDING.

Description of Event or Problem · 1

A SURGEON REPORTS A FIBROUS MASS WAS OBSERVED ON THE ANTERIOR SURFACE OF THE INTRAOCULAR LENS (IOL). THE SURGEON FEELS IT AFFECTED THE PT'S VISION. THE PARTICLE WAS REMOVED DURING A FOLLOW-UP VISIT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 ACRYSOF INTRAOCULAR LENS HQL ALCON LABORATORIES, INC./HUNTINGTON SN60AT 938934

Patients

Seq Age Sex Outcome Treatment
1 NO INFO Other| R