MAUDE Adverse Event Report: ALCON RESEARCH, LLC - HUNTINGTON ACRYSOF IQ RESTOR SINGLEPIECE IOL; LENS, MULTIFOCAL INTRAOCULAR

Model Number	SN6AD1
Medical Device Problem Code	Adverse Event Without Identified Device or Use Problem (2993)
Health Effect - Clinical Code	Posterior Capsule Opacification (4807)
Date of Event	07/01/2024
Type of Reportable Event	Serious Injury
Additional Manufacturer Narrative
Complaint history and product history records were reviewed and the documentation indicated the product met release criteria.The root cause has not been identified.The manufacturer internal reference number is: (b)(4).H.10 reflects all related report numbers associated with this product event that have been submitted at this time.
Event or Problem Description
A healthcare professional via a regulatory agency reported that a patient had bilateral implantation of intraocular lens.In june 2016, due to opacification, the patient had to undergo vitrectomy and yag laser treatment.Since the previous august, cloudiness had reoccurred in the patient¿s eyes and had been worsening.The patient¿s optometrist diagnosed the early development of cataracts.Additional information was requested.There are two medical device reports associated with this patient.This report is associated with the left eye.
Additional Manufacturer Narrative
Additional information was added in d.4.,h.3,.And h.11.The product was not returned.Product history records were reviewed and the documentation indicated the product met release criteria.The product investigation could not identify a root cause for the reported complaint.Product was not returned.Each lens is subjected to a 100 percent assessment of the power and optical resolution during the manufacturing process in order to determine acceptability per the lens model and diopter.As for the reported alleged defective batch in the initial complaint description, the batch was reviewed and the documentation indicated the product met release criteria.The lens was implanted 02-nov-2011.Information was provided to the consumer that the lot numbers of the 2 iols were checked and these are not part of the 2015 market action in japan.Company has also reviewed the product labels for the iol¿s supplied to japan and can confirm the japanese product was not ce marked.To reconfirm, at the time back in 2015 we had a completely separate manufacturing line for japan iols, with process steps unique to the japan manufacturing line.The root cause for the market action in japan was related to these unique processing steps.At this time, company notes that the 2015 market action in japan were due to post-operative inflammation and tass, both of which occur immediately after surgery.Therefore if the uk reporter is seeing the adverse event now many years after the iol implantation, this is not connected to the root cause and market action in japan.File will be reopened if new information or the sample is received.The manufacturer internal reference number is: (b)(4).H.10 reflects all related report numbers associated with this product event that have been submitted at this time.

• Brand Name: ACRYSOF IQ RESTOR SINGLEPIECE IOL
• Common Device Name: LENS, MULTIFOCAL INTRAOCULAR
• 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 Key: 20096146
• Report Number: 1119421-2024-01665
• Device Sequence Number: 18058617
• Product Code: MFK
• UDI-Device Identifier: 00380652241076
• UDI-Public: (01)00380652241076(17)140430(11)090519(10)10921445
• Combination Product (Y/N): N
• Initial Reporter Country: UK
• PMA/510(K) Number: P040020
• Number of Events Summarized: 1
• Summary Report (Y/N): N
• Device Implanted Year: 2011
• Reporter Type: Manufacturer
• Report Source: Foreign,Consumer,Company Representative
• Initial Reporter Occupation: Non-Healthcare Professional
• Type of Report: Initial,Followup
• Report Date (Section B): 10/24/2024

1 Device was Involved in the Event

1 Patient was Involved in the Event

• Is this an Adverse Event Report?: Yes
• Is this a Product Problem Report?: No
• Operator of Device: Health Professional
• Device Expiration Date: 04/30/2014
• Device Model Number: SN6AD1
• Device Lot Number: 10921445
• Was Device Available for Evaluation?: No
• Type of Report(Section G): Initial
• Initial Date Received by Manufacturer: 07/31/2024
• Supplement Date Received by Manufacturer: 09/26/2024
• Initial Report FDA Received Date: 08/29/2024
• Supplement Report FDA Received Date: 10/24/2024
• Date Device Manufactured: 05/19/2009
• Is This a Single-Use Device that was Reprocessed and Reused on a Patient? (Y/N): No
• Usage of Device: Initial
• Patient Sequence Number: 1
• Outcome Attributed to Adverse Event: Required Intervention
• Patient Sex: Unknown