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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: ALCON RESEARCH, LLC - HUNTINGTON ACRYSOF MULTIPIECE IOL; INTRAOCULAR LENS

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ALCON RESEARCH, LLC - HUNTINGTON ACRYSOF MULTIPIECE IOL; INTRAOCULAR LENS Back to Search Results
Model Number MA60MA
Device Problem Material Opacification (1426)
Patient Problem Insufficient Information (4580)
Event Date 06/30/2022
Event Type  malfunction  
Event Description
A nurse reported that following the cataract surgery with intraocular lens implant procedure found to have deposits on the lens.In the surgeon¿s opinion the cause of the event was the patient has had a high proportion of mercury and aluminum and lead in the blood.The patient also had blood washing (plasmapheresis) in (b)(6) 2022.Additional information has been requested and received stating the patient had decided for a planned explant in the coming month.The diagnosis was lens opacification.There are two medical device reports associated with this patient.This report is for the left eye.Additional information received and stated that, iol explantation was planned.
 
Manufacturer Narrative
A sample device was not returned for analysis.Complaint history and product history records could not be reviewed because the reporter did not provide a lot number or any identification traceable to the manufacturing documentation.Root cause has not been identified.The manufacturer internal reference number is: (b)(4).
 
Manufacturer Narrative
The product investigation could not identify a root cause for the reported complaint.Not enough information was provided by the reporter for further investigation.Information was provided that the lens was implanted on (b)(6) 2000.In the opinion of the surgeon, what are the causes of the event? pat.Has had a high proportion of mercury and aluminum + lead in the blood.(b)(6) 2022 patient had plasmapheresis.No further information has been provided.The manufacturer internal reference number is: (b)(4).
 
Event Description
Additional information received and stated that the secondary surgery took place on (b)(6) 2022.
 
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Brand Name
ACRYSOF MULTIPIECE 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 Key15887426
MDR Text Key307701802
Report Number1119421-2022-02529
Device Sequence Number1
Product Code HQL
Combination Product (y/n)N
Reporter Country CodeGM
PMA/PMN Number
P930014
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type Foreign,Health Professional
Reporter Occupation Physician
Type of Report Initial,Followup
Report Date 02/03/2023
1 Device was Involved in the Event
1 Patient was Involved in the Event
Date FDA Received11/30/2022
Is this an Adverse Event Report? No
Is this a Product Problem Report? Yes
Device Operator Health Professional
Device Model NumberMA60MA
Device Catalogue NumberMA60MA.XXX
Device Lot NumberASKU
Was Device Available for Evaluation? No
Is the Reporter a Health Professional? Yes
Date Manufacturer Received01/07/2023
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
Patient SexMale
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