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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: ALCON RESEARCH, LLC - HUNTINGTON MONARCH II IOL DELIVERY SYSTEM, CARTRIDGE B; FOLDERS AND INJECTORS, INTRAOCULAR LENS (IOL)

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ALCON RESEARCH, LLC - HUNTINGTON MONARCH II IOL DELIVERY SYSTEM, CARTRIDGE B; FOLDERS AND INJECTORS, INTRAOCULAR LENS (IOL) Back to Search Results
Catalog Number 8065977758
Device Problem Appropriate Term/Code Not Available (3191)
Patient Problem Eye Injury (1845)
Event Type  Injury  
Manufacturer Narrative
The product was not returned for analysis; the lens remains implanted.Complaint history and product history records were reviewed and documentation indicated the product met release criteria.Root cause has not been identified.There have been no other complaints reported in the lot number.The manufacturer internal reference number is: (b)(4).
 
Event Description
A non-health care professional reported during the intraocular lens implantation they were unable to successfully load the lens into the cartridge.The lens was final loaded using the long angle forceps.Then the injector probe kept passing over or under the iol without advancing it.The injector plunger was slightly bent up.The lens was inspected and there were no scratches on the lens.So they enlarged the corneal incision to about 6mm, and manually delivered the lens into the anterior chamber.Then closed the incision with 3 interrupted 10-0 nylon sutures.
 
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Brand Name
MONARCH II IOL DELIVERY SYSTEM, CARTRIDGE B
Type of Device
FOLDERS AND INJECTORS, INTRAOCULAR LENS (IOL)
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 Key16598448
MDR Text Key311858079
Report Number1119421-2023-00521
Device Sequence Number1
Product Code MSS
UDI-Device Identifier00380659777585
UDI-Public00380659777585
Combination Product (y/n)N
Reporter Country CodeUS
PMA/PMN Number
K001157
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type Company Representative
Reporter Occupation Non-Healthcare Professional
Type of Report Initial
Report Date 03/23/2023
1 Device was Involved in the Event
1 Patient was Involved in the Event
Date FDA Received03/23/2023
Is this an Adverse Event Report? No
Is this a Product Problem Report? No
Device Operator Health Professional
Device Catalogue Number8065977758
Device Lot NumberASKU
Was Device Available for Evaluation? No
Date Manufacturer Received02/23/2023
Was Device Evaluated by Manufacturer? Device Not Returned to Manufacturer
Is This a Reprocessed and Reused Single-Use Device? No
Type of Device Usage Initial
Patient Sequence Number1
Treatment
ACRYSOF SINGLEPIECE IOL; LONG-ANGLED MCPHERSON FORCEPS; MONARCH III IOL INJECTOR
Patient Outcome(s) Required Intervention;
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