MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a foreign,health professional report with the FDA on 2020-02-06 for ACRYSOF IQ TORIC SINGLEPIECE IOL SN6AT5 SN6AT5.225 manufactured by Alcon Laboratories Ireland Ltd..
[182287658]
Evaluation summary: the product was not returned for analysis. The product history and batch records were reviewed and documentation indicated the product met release criteria. The product investigation could not identify a root cause. There have been no other complaints reported in the lot number. The manufacturer internal reference number is: (b)(4).
Patient Sequence No: 1, Text Type: N, H10
[182287659]
A health professional reported that during an intraocular lens (iol) implant surgery, the haptic was glued to the optic. The surgeon removed the haptic from the optic and noticed it left an imprint on the optic. The surgeon left the lens implanted in the patients eye. There was no patient impact. Additional information has been requested.
Patient Sequence No: 1, Text Type: D, B5
| Report Number | 9612169-2020-00044 |
| MDR Report Key | 9676196 |
| Report Source | FOREIGN,HEALTH PROFESSIONAL |
| Date Received | 2020-02-06 |
| Date of Report | 2020-03-27 |
| Date of Event | 2020-01-23 |
| Date Mfgr Received | 2020-03-27 |
| Device Manufacturer Date | 2019-05-23 |
| Date Added to Maude | 2020-02-06 |
| Event Key | 0 |
| Report Source Code | Manufacturer report |
| Manufacturer Link | Y |
| Number of Patients in Event | 0 |
| Adverse Event Flag | 3 |
| Product Problem Flag | 3 |
| Reprocessed and Reused Flag | 3 |
| Reporter Occupation | OTHER HEALTH CARE PROFESSIONAL |
| Health Professional | 3 |
| Initial Report to FDA | 3 |
| Report to FDA | 3 |
| Event Location | 3 |
| Manufacturer Contact | MR. JASON MICHAELIDES |
| Manufacturer Street | 6201 SOUTH FREEWAY MAIL STOP AB2-6 |
| Manufacturer City | FORT WORTH TX 76134 |
| Manufacturer Country | US |
| Manufacturer Postal | 76134 |
| Manufacturer Phone | 8175686438 |
| Manufacturer G1 | ALCON LABORATORIES IRELAND LTD. |
| Manufacturer Street | CORK BUSINESS&TECHNOLOGY PARK MODEL FARM ROAD |
| Manufacturer City | CORK 00000 |
| Manufacturer Country | EI |
| Manufacturer Postal Code | 00000 |
| Single Use | 3 |
| Previous Use Code | 3 |
| Removal Correction Number | NA |
| Event Type | 3 |
| Type of Report | 3 |
| Brand Name | ACRYSOF IQ TORIC SINGLEPIECE IOL |
| Generic Name | LENS, INTRAOCULAR, TORIC OPTICS |
| Product Code | MJP |
| Date Received | 2020-02-06 |
| Model Number | SN6AT5 |
| Catalog Number | SN6AT5.225 |
| Lot Number | 21246259 |
| Operator | HEALTH PROFESSIONAL |
| Device Availability | N |
| Device Age | DA |
| Device Eval'ed by Mfgr | R |
| Device Sequence No | 1 |
| Device Event Key | 0 |
| Manufacturer | ALCON LABORATORIES IRELAND LTD. |
| Manufacturer Address | CORK BUSINESS&TECHNOLOGY PARK MODEL FARM ROAD CORK 00000 EI 00000 |
| Patient Number | Treatment | Outcome | Date |
|---|---|---|---|
| 1 | 0 | 2020-02-06 |