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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: ALCON LABORATORIES IRELAND LTD. CLAREON IOL; INTRAOCULAR LENS

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ALCON LABORATORIES IRELAND LTD. CLAREON IOL; INTRAOCULAR LENS Back to Search Results
Model Number SY60WF
Device Problem Defective Component (2292)
Patient Problem No Clinical Signs, Symptoms or Conditions (4582)
Event Date 11/08/2023
Event Type  malfunction  
Event Description
A physician reported that during an intraocular lens (iol) implant procedure, the haptic was found damaged and a crack was observed in the optics after insertion of the iol.The iol was explanted during initial procedure.There was no patient harm.Additional information has been requested, received and stated there was no enlargement of the incision associated with iol removal, and there was no corneal edema.
 
Manufacturer Narrative
Investigation including root cause analysis is in progress.A supplemental mdr will be filed as necessary in accordance with 21 cfr 803.56 when additional reportable information becomes available.The manufacturer internal reference number is: (b)(4).
 
Manufacturer Narrative
The product was returned for analysis and the reported complaint was observed.Intraocular lens (iol) returned cut in half in the iol case.The optic is cut through the centre of the iol.One haptic is broken/ torn and not returned.The tip of the other haptic is broken/torn and not returned.We are unable to determine the root cause for the reported complaint "haptic damaged, crack in the optics".Only the iol was returned for evaluation.The haptic is broken/torn.The observed optic damage is consistent with lens having been explanted.All iols are 100% cosmetically inspected as per approved manufacturing procedures and the observed lens damage would not meet our current release criteria.Based on these investigation findings, we are unable to verify if the iol contributed to the event.Based on the results from the product history record, the products met release criteria.The manufacturer internal reference number is: (b)(4).
 
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Brand Name
CLAREON IOL
Type of Device
INTRAOCULAR LENS
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
jonathan schlech
6201 south freeway
mail stop ab2-6
fort worth, TX 76134
8007579780
MDR Report Key18264543
MDR Text Key329685020
Report Number9612169-2023-00843
Device Sequence Number1
Product Code HQL
UDI-Device Identifier00380652251488
UDI-Public00380652251488
Combination Product (y/n)N
Reporter Country CodeJA
PMA/PMN Number
P190018
Number of Events Reported1
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 03/01/2024
1 Device was Involved in the Event
1 Patient was Involved in the Event
Date FDA Received12/05/2023
Is this an Adverse Event Report? No
Is this a Product Problem Report? Yes
Device Operator Health Professional
Device Model NumberSY60WF
Device Lot Number25507737
Was Device Available for Evaluation? Device Returned to Manufacturer
Date Returned to Manufacturer11/24/2023
Is the Reporter a Health Professional? Yes
Date Manufacturer Received02/01/2024
Was Device Evaluated by Manufacturer? Yes
Date Device Manufactured10/05/2022
Is This a Reprocessed and Reused Single-Use Device? No
Type of Device Usage Initial
Patient Sequence Number1
Treatment
DISCOVISC; INTREPID AUTOSERT IOL HANDPIECE; MONARCH CARTRIDGE D
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