Brand Name | ACRYSOF IQ NATURAL SINGLEPIECE IOL |
Type of Device | INTRAOCULAR LENS |
Manufacturer (Section D) |
ALCON RESEARCH, LLC - HUNTINGTON |
6065 kyle lane |
huntington WV 25702 |
|
Manufacturer (Section G) |
ALCON RESEARCH, LLC - HUNTINGTON |
6065 kyle lane |
|
huntington WV 25702 |
|
Manufacturer Contact |
jonathan
schlech
|
6201 south freeway |
mail stop ab2-6 |
fort worth, TX 76134
|
8007579780
|
|
MDR Report Key | 19124336 |
MDR Text Key | 340372759 |
Report Number | 1119421-2024-00730 |
Device Sequence Number | 1 |
Product Code |
HQL
|
UDI-Device Identifier | 00380655093184 |
UDI-Public | 00380655093184 |
Combination Product (y/n) | N |
Reporter Country Code | RP |
PMA/PMN Number | P930014 |
Number of Events Reported | 1 |
Summary Report (Y/N) | N |
Report Source |
Manufacturer
|
Source Type |
Foreign,Health Professional,Company Representative |
Reporter Occupation |
Physician
|
Type of Report
| Initial,Followup |
Report Date |
05/17/2024 |
1 Device was Involved in the Event |
|
1 Patient was Involved in the Event |
|
Is this an Adverse Event Report? |
Yes
|
Is this a Product Problem Report? |
No
|
Device Operator |
Health Professional
|
Device Model Number | SN60WF |
Device Catalogue Number | SN60WF.195 |
Device Lot Number | 15674696 |
Was Device Available for Evaluation? |
No
|
Is the Reporter a Health Professional? |
Yes
|
Initial Date Manufacturer Received |
03/19/2024
|
Initial Date FDA Received | 04/17/2024 |
Supplement Dates Manufacturer Received | 04/18/2024
|
Supplement Dates FDA Received | 05/17/2024
|
Was Device Evaluated by Manufacturer? |
Device Not Returned to Manufacturer
|
Date Device Manufactured | 07/20/2023 |
Is This a Reprocessed and Reused Single-Use Device? |
No
|
Type of Device Usage |
Initial
|
Patient Sequence Number | 1 |
Treatment | BSS STERILE IRRIGATING SOLUTION. |
Patient Outcome(s) |
Required Intervention;
Other;
|
Patient Age | 74 YR |
Patient Sex | Female |