FDA Adverse Event Other Summary report: N

ACRYSOF RESTOR

MDR report key: 932729 · Received October 24, 2007

Report

Report Number
1119421-2007-00429
Event Type
Other
Date Received
October 24, 2007
Date of Event
January 1, 2007
Report Date
September 24, 2007
Manufacturer
ALCON LABORATORIES, INC. / HUNTINGTON
Product Code
HQL
PMA / PMN Number
P040020
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
PA, 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 THE LOT. ADDITIONAL INFORMATION WAS REQUESTED 09/25/2007, 09/27/2007, AND 10/16/2007 BY PHONE, MAIL AND FAX. ADDITIONAL INFORMATION WAS RECEIVED 09/25/2007 BY PHONE. A COMPLETED QUESTIONNAIRE HAS NOT BEEN RETURNED.

Description of Event or Problem · 1

A SURGEON REPORTS A PATIENT WITH AN UNEXPECTED POSTOPERATIVE REFRACTION FOLLOWING INTRAOCULAR LENS (IOL) IMPLANT SURGERY. ADDITIONAL INFORMATION, INCLUDING PATIENT STATUS, HAS BEEN REQUESTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 ACRYSOF RESTOR INTRAOCULAR LENS HQL ALCON LABORATORIES, INC. / HUNTINGTON SN6AD3 10709186

Patients

Seq Age Sex Outcome Treatment
1 NI YR Other