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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: ALCON RESEARCH, LLC - HUNTINGTON ACRYSOF IQ PANOPTIX UV ABSORBING TRIFOCAL IOL; LENS, MULTIFOCAL

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ALCON RESEARCH, LLC - HUNTINGTON ACRYSOF IQ PANOPTIX UV ABSORBING TRIFOCAL IOL; LENS, MULTIFOCAL Back to Search Results
Model Number TFAT00
Device Problems Use of Device Problem (1670); Patient-Device Incompatibility (2682)
Patient Problems Failure of Implant (1924); Visual Disturbances (2140); Halo (2227)
Event Type  Injury  
Manufacturer Narrative
A sample product was not returned for analysis.Complaint history and product history records were reviewed and documentation indicated the product met release criteria.Root cause has not been identified.There are no other complaints in the lot.(b)(4).
 
Event Description
A facility representative reported that after an intraocular lens (iol) implanted, the patient had halos at night and also glare.Approximately 4.5 months after implantation, the lens was exchanged for another model of lens.Additional information was requested.
 
Manufacturer Narrative
Three pieces of the explanted lens were returned in the lens case of the replacement lens, placed into the opened lens carton for the replacement lens.Viscoelastic was dried on the lens.Each haptic was cut at the gusset area.Only one large portion of the optic was returned.The optic has multiple areas that are torn and split (cut) across the central optic area.The optic is split on posterior surface and has scratches.A non-qualified viscoelastic was indicated.The root cause could not be determined for the reported complaint of "halos at night; glare (explant)".Three pieces of the explanted lens were returned.Each haptic was cut at the gusset area.Only one large portion of the optic was returned.The optic has multiple areas that are torn and split (cut) across the central optic area.The optic is split on posterior surface and has scratches.The manufacturer internal reference number is: (b)(4).
 
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Brand Name
ACRYSOF IQ PANOPTIX UV ABSORBING TRIFOCAL IOL
Type of Device
LENS, MULTIFOCAL
Manufacturer (Section D)
ALCON RESEARCH, LLC - HUNTINGTON
6065 kyle lane
huntington WV 25702
MDR Report Key11302651
MDR Text Key231015029
Report Number1119421-2021-00268
Device Sequence Number1
Product Code MFK
Combination Product (y/n)N
PMA/PMN Number
P040020
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type other
Type of Report Initial,Followup
Report Date 03/18/2021
1 Device was Involved in the Event
1 Patient was Involved in the Event
Date FDA Received02/09/2021
Is this an Adverse Event Report? Yes
Is this a Product Problem Report? No
Device Operator Health Professional
Device Model NumberTFAT00
Device Catalogue NumberTFAT00.235
Device Lot Number12757420
Was Device Available for Evaluation? Device Returned to Manufacturer
Date Returned to Manufacturer02/23/2021
Date Manufacturer Received03/08/2021
Is This a Reprocessed and Reused Single-Use Device? No
Patient Sequence Number1
Treatment
MONARCH III D CARTRIDGE; MONARCH III IOL DELIVERY SYST; OCCUCOAT; MONARCH III D CARTRIDGE; MONARCH III IOL DELIVERY SYST; OCCUCOAT
Patient Outcome(s) Required Intervention;
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