CRYSTALENS ACCOMMODATING IOL AO2UV AO2UV-2050

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a health professional,user faci report with the FDA on 2020-03-20 for CRYSTALENS ACCOMMODATING IOL AO2UV AO2UV-2050 manufactured by Bausch + Lomb.

Event Text Entries

[184826828] The product evaluation was completed. One opened lens box was returned missing the peel pouch and directions for use (dfu). The lens was in the carrier, positioned incorrectly. Particulates, saline dendrites and dried solutions were visible on the optic. Visual inspection found the lens was in three pieces. The optic had been cut or torn in half. One plate was torn off and was lying loose in the carrier. One haptic arm on the torn off plate was bent. The cause of the damage cannot be determined. Functional testing cannot be performed due to the damage. The lot history, trend analysis, risk analysis and directions for use review are considered acceptable, with the product performing within anticipated rates. A definitive root cause cannot be determined. The most probable root cause is operational context. User related factors (such as loading or handling techniques) and/or procedural factors (such as lens and inserter interaction) might have contributed to the event. No corrective action is necessary at this time.
Patient Sequence No: 1, Text Type: N, H10


[184826829] It was reported that during insertion of an intraocular lens (iol) into the right eye it was noticed that the haptic was torn. The iol was removed with lens forceps. There was no incision enlargement and no sutures were required. The patient had a vitrectomy and had a different lens implanted. Though requested, no additional information has been received. The reason for vitrectomy was not provided.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number0001313525-2020-00057
MDR Report Key9860764
Report SourceHEALTH PROFESSIONAL,USER FACI
Date Received2020-03-20
Date of Report2020-02-13
Date of Event2020-02-12
Report Date2005-01-01
Date Reported to FDA2005-01-01
Date Reported to Mfgr2005-01-10
Date Mfgr Received2020-02-19
Date Added to Maude2020-03-20
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Reporter OccupationOTHER HEALTH CARE PROFESSIONAL
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Manufacturer ContactSTEPHANIE ANASTASIOU
Manufacturer Street21 NORTH PARK PLACE BLVD.
Manufacturer CityCLEARWATER FL 33759
Manufacturer CountryUS
Manufacturer Postal33759
Manufacturer Phone7277246659
Single Use0
Previous Use Code0
Event Type3
Type of Report3

Device Sequence Number: 1

Brand NameCRYSTALENS ACCOMMODATING IOL
Generic NameLENS, INTRAOCULAR, ACCOMMODATIVE
Product CodeNAA
Date Received2020-03-20
Returned To Mfg2020-03-11
Model NumberAO2UV
Catalog NumberAO2UV-2050
Lot Number6872410
OperatorHEALTH PROFESSIONAL
Device AvailabilityR
Device Sequence No1
Device Event Key0
ManufacturerBAUSCH + LOMB
Manufacturer Address1400 NORTH GOODMAN STREET ROCHESTER NY 14609 US 14609

Device Sequence Number: 101

Product Code---
Date Received2020-03-20
Device Sequence No101
Device Event Key0


Patients

Patient NumberTreatmentOutcomeDate
101. Required No Informationntervention 2020-03-20

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