FDA Adverse Event Other Summary report: N

ACRYSOF RESTOR

MDR report key: 870341 · Received June 22, 2007

Report

Report Number
1119421-2007-00269
Event Type
Other
Date Received
June 22, 2007
Date of Event
January 1, 2007
Report Date
May 24, 2007
Manufacturer
ALCON LABORATORIES, INC. / HUNTINGTON
Product Code
HQL
PMA / PMN Number
P040020
Removal / Correction Number
NA
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
CA, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

THE PRODUCT WAS NOT RETURNED FOR ANALYSIS. RESULTS FROM THE PRODUCT HISTORY RECORD REVIEW INDICATED THE PRODUCT MET RELEASE CRITERIA. THERE HAVE BEEN NO OTHER COMPLAINTS REPORTED IN THIS LOT NUMBER. ADD'L INFO WAS REQUESTED 05/24/2007, 05/25/2007 AND 05/29/2007 BY PHONE, MAIL AND FAX. ADD'L INFO RECEIVED 05/24/2007, 05/25/2007 AND 06/05/2007 BY PHONE AND FAX.

Description of Event or Problem · 1

A SURGEON REPORTS THAT FOLLOWING BILATERAL INTRAOCULAR LENS (IOL) SURGERY, A PT REPORTED BLURRY VISION. RIGHT EYE: MDR #1119421-2007-00269, LEFT EYE: MDR #1119421-2007-00270.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 ACRYSOF RESTOR INTRAOCULAR LENS HQL ALCON LABORATORIES, INC. / HUNTINGTON SN60D3 983301

Patients

Seq Age Sex Outcome Treatment
1 78 YR Other