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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: ALCON RESEARCH, LLC - HUNTINGTON CLAREON ASPHERIC HYDROPHOBIC ACRYLIC IOL; INTRAOCULAR LENS

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ALCON RESEARCH, LLC - HUNTINGTON CLAREON ASPHERIC HYDROPHOBIC ACRYLIC IOL; INTRAOCULAR LENS Back to Search Results
Model Number SY60WF
Device Problems Device Contamination with Chemical or Other Material (2944); Appropriate Term/Code Not Available (3191)
Patient Problem Insufficient Information (4580)
Event Type  malfunction  
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.The provided photo and video were reviewed.The photo does not give enough clarity to make a determination.Review of the video does show a dark area with a circular appearance.Unable to determine if this is a bubble or material under or in the lens.The light reflective areas were visible in the video.This may be related to surface anomalies (dimple) or damage that is reflecting due to the angle or it may be something on the optic surface.Physical examination of the lens would be necessary to determine the nature and origin of the observed artifacts.There have been no other complaints reported in the lot number.The manufacturer internal reference number is: (b)(4).
 
Event Description
A surgeon reported during the intraocular lens implantation it was observed that a vacuole to the right of the bright purkinje reflex and there are multiple shiny defects or foreign bodies on the surface of the lens that were not removable.The lens was left in the eye.Additional information has been requested and received stating the patient was not hospitalized for the event and there was no medical intervention needed.The surgeon prognosis was possible need for an lens exchange.The symptoms are still ongoing.There is a possibility of harm if the vision does not recover.The surgeon thinks it is a manufacturing defect in the lens.Additional information has been received stating the patient is j1+ in the affected eye, which is her monovision reading eye.She has no subjective visual complaints but continues to see the shiny defects on the surface of the lens as well as one vacuole within the lens, even with the pupil undilated.They have agreed to not explant the lens.
 
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Brand Name
CLAREON ASPHERIC HYDROPHOBIC ACRYLIC IOL
Type of Device
INTRAOCULAR LENS
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 Key15867616
MDR Text Key307701042
Report Number1119421-2022-02492
Device Sequence Number1
Product Code HQL
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
Report Date 11/28/2022
1 Device was Involved in the Event
1 Patient was Involved in the Event
Date FDA Received11/28/2022
Is this an Adverse Event Report? No
Is this a Product Problem Report? Yes
Device Operator Health Professional
Device Model NumberSY60WF
Device Catalogue NumberSY60WF.225 CLAREON
Device Lot Number15379081
Was Device Available for Evaluation? No
Is the Reporter a Health Professional? Yes
Date Manufacturer Received10/31/2022
Was Device Evaluated by Manufacturer? Device Not Returned to Manufacturer
Date Device Manufactured03/28/2022
Is This a Reprocessed and Reused Single-Use Device? No
Type of Device Usage Initial
Patient Sequence Number1
Treatment
BARRETT TRU K.; MONARCH III IOL DELIVERY SYSTEM, CARTRIDGE D.; MONARCH III IOL DELIVERY SYSTEM, INJECTOR.; PROVISC OPHTHALMIC VISCOSURGICAL DEVICE.; UNSPECIFIED FORCEPS.
Patient Age79
Patient SexFemale
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