Brand Name | ACRYSOF IQ TORIC SINGLEPIECE IOL |
Type of Device | LENS, INTRAOCULAR, TORIC OPTICS |
Manufacturer (Section D) |
ALCON LABORATORIES IRELAND LTD. |
cork business&technology park |
model farm road |
cork 00000 |
EI 00000 |
|
Manufacturer (Section G) |
ALCON LABORATORIES IRELAND LTD. |
cork business&technology park |
model farm road |
cork 00000 |
EI
00000
|
|
Manufacturer Contact |
bryan
blake
|
6201 south freeway |
mail stop ab2-6 |
fort worth, TX 76134
|
8176152230
|
|
MDR Report Key | 7630387 |
MDR Text Key | 112058131 |
Report Number | 9612169-2018-00089 |
Device Sequence Number | 1 |
Product Code |
MJP
|
Combination Product (y/n) | N |
Reporter Country Code | US |
PMA/PMN Number | P930014 |
Number of Events Reported | 1 |
Summary Report (Y/N) | N |
Report Source |
Manufacturer
|
Source Type |
health professional |
Reporter Occupation |
Health Professional
|
Type of Report
| Initial |
Report Date |
06/22/2018 |
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 Expiration Date | 04/30/2020 |
Device Model Number | SN6AT4 |
Device Catalogue Number | SN6AT4.125 |
Device Lot Number | 21132012 |
Other Device ID Number | 00380652250276 |
Was Device Available for Evaluation? |
No
|
Is the Reporter a Health Professional? |
Yes
|
Initial Date Manufacturer Received |
06/08/2018 |
Initial Date FDA Received | 06/22/2018 |
Was Device Evaluated by Manufacturer? |
Device Not Returned to Manufacturer
|
Date Device Manufactured | 05/26/2015 |
Is the Device Single Use? |
Yes
|
Is This a Reprocessed and Reused Single-Use Device? |
No
|
Type of Device Usage |
Initial
|
Patient Sequence Number | 1 |
Patient Outcome(s) |
Required Intervention;
|
Patient Age | 67 YR |