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U.S. Department of Health and Human Services

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

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ALCON RESEARCH, LLC - HUNTINGTON ACRYSOF IQ PANOPTIX TORIC TRIFOCAL IOL; LENS, MULTIFOCAL Back to Search Results
Model Number TFNT40
Device Problem Malposition of Device (2616)
Patient Problem Insufficient Information (4580)
Event Date 07/26/2023
Event Type  Injury  
Event Description
A physician reported that the patient had a lens implanted, and upon examination the next day, the lens had rotated.The patient was taken back to the operating room, and the lens was repositioned by a degree of implantation.However, after a few days, the lens rotated again.Additional information has been requested and received.
 
Manufacturer Narrative
A sample device 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.The manufacturer internal reference number is: \ (b)(4).
 
Manufacturer Narrative
The product was not returned.Product history records were reviewed and documentation indicated the product met release criteria.The product investigation could not identify a root cause for the reported complaint of lens rotated.The lens remains implanted.Information was provided that the patient's current visual acuity is 0.5-0.6.The patient has another appointment in 1.5 months.File will be reopened if new information is received.The manufacturer internal reference number is: (b)(4).
 
Event Description
Additional information has been requested and received stating that the patient's visual acuity was 0.5-0.6.The patient was not satisfied with the result.
 
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Brand Name
ACRYSOF IQ PANOPTIX TORIC TRIFOCAL IOL
Type of Device
LENS, MULTIFOCAL
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 Key17728565
MDR Text Key323168437
Report Number1119421-2023-01589
Device Sequence Number1
Product Code MFK
UDI-Device Identifier00380652390453
UDI-Public00380652390453
Combination Product (y/n)N
Reporter Country CodeRS
PMA/PMN Number
P040020
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 11/15/2023
1 Device was Involved in the Event
1 Patient was Involved in the Event
Date FDA Received09/12/2023
Is this an Adverse Event Report? Yes
Is this a Product Problem Report? Yes
Device Operator Health Professional
Device Model NumberTFNT40
Device Catalogue NumberTFNT40.165
Device Lot Number15459413
Was Device Available for Evaluation? No
Is the Reporter a Health Professional? Yes
Date Manufacturer Received10/18/2023
Was Device Evaluated by Manufacturer? Device Not Returned to Manufacturer
Date Device Manufactured07/28/2022
Is This a Reprocessed and Reused Single-Use Device? No
Type of Device Usage Initial
Patient Sequence Number1
Treatment
MONARCH III IOL, CARTRIDGE D.; MONARCH III IOL, INJECTOR.; UNKNOWN VISCOELASTIC.; WAVELIGHT FS200 FEMTOSECOND LASER.
Patient Outcome(s) Required Intervention;
Patient Age67 YR
Patient SexMale
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