FDA Adverse Event Other Summary report: N

ACRYSOF

MDR report key: 991122 · Received February 1, 2008

Report

Report Number
1119421-2008-00034
Event Type
Other
Date Received
February 1, 2008
Date of Event
January 1, 2007
Report Date
January 3, 2008
Manufacturer
ALCON RESEARCH, LTD. / HUNTINGTON
Product Code
HQL
PMA / PMN Number
P930014
Removal / Correction Number
NA
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
AZ, US
Reporter Occupation
UNKNOWN

Narratives

Additional Manufacturer Narrative · 1

THE PRODUCT WAS NOT RETURNED FOR ANALYSIS; THE DEVICE REMAINS IMPLANTED. RESULTS FROM THE PRODUCT HISTORY RECORD REVIEW INDICATED THE PRODUCT MET RELEASE CRITERIA. THERE HAVE BEEN NO OTHER COMPLAINTS REPORTED IN THE LOT NUMBER. ADDITIONAL INFORMATION WAS REQUESTED 01/04/2007, 01/07/2008 AND 01/11/2008 BY PHONE, MAIL AND FAX. A COMPLETED QUESTIONNAIRE HAS NOT BEEN RETURNED. THIS REPORT WAS MAILED TO FDA ON: 02/01/2008.

Description of Event or Problem · 1

A CONSUMER REPORTS SEEING STARBURSTS AT NIGHT 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 INTRAOCULAR LENS HQL ALCON RESEARCH, LTD. / HUNTINGTON SN60WF 881343

Patients

Seq Age Sex Outcome Treatment
1 NI Other