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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
Lot Number ASKU
Device Problems Break (1069); Material Split, Cut or Torn (4008)
Patient Problem Insufficient Information (4580)
Event Type  malfunction  
Event Description
A facility representative reported that during an intraocular lens (iol) implant procedure, it was noted on implantation that the bulb of the leading haptic completely separated from the rest of haptic and lens had full thickness cut.Additional information has been requested.This report is associated with multiple complaints.This file is 2 of 2.
 
Manufacturer Narrative
The product was returned for analysis.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 not returned for analysis.Photo received shows an implanted intraocular lens (iol) with haptics in a folded position, one haptic tip appears to be damaged/missing.There appears to be a few dark marks/lines on the optic.Based on our observation of the attached photo, there appears to be marks on the optic and a damaged/missing haptic tip.A definitive determination of damage cannot be made without the evaluation of the physical product.A final root cause cannot be determined based on available information.The product history records confirm that the product 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 Key17603172
MDR Text Key321736749
Report Number9612169-2023-00607
Device Sequence Number1
Product Code MFK
Combination Product (y/n)N
Reporter Country CodeUS
PMA/PMN Number
P190018
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type Health Professional,Company Representative
Reporter Occupation Physician
Type of Report Initial,Followup
Report Date 11/16/2023
1 Device was Involved in the Event
1 Patient was Involved in the Event
Date FDA Received08/23/2023
Is this an Adverse Event Report? No
Is this a Product Problem Report? Yes
Device Operator Health Professional
Device Lot NumberASKU
Was Device Available for Evaluation? No
Is the Reporter a Health Professional? Yes
Date Manufacturer Received10/24/2023
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
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