| Brand Name | CLAREON PANOPTIX TRIFOCAL HYDROPHOBIC INTRAOCULAR LENS |
| 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 | 21331944 |
| Report Number | 1119421-2025-00314 |
| Device Sequence Number | 7865785 |
| Product Code |
MFK
|
| UDI-Device Identifier | 00380652408134 |
| UDI-Public | (01)00380652408134(17)280515(11)240517(10)15855598 |
| Combination Product (Y/N) | N |
| Initial Reporter State | FL |
| Initial Reporter Country | US |
| PMA/510(K) Number | P190018 |
| Number of Events Summarized | 1 |
| Summary Report (Y/N) | N |
| Reporter Type |
Manufacturer
|
| Initial Reporter Occupation |
Non-Healthcare Professional
|
| Type of Report
| Initial |
| Report Date (Section B) |
02/07/2025 |
| 1 Device was Involved in the Event |
|
| 1 Patient was Involved in the Event |
|
| Is this an Adverse Event Report? |
No
|
| Is this a Product Problem Report? |
Yes
|
| Operator of Device |
Health Professional
|
| Device Model Number | CNWTT0 |
| Device Catalogue Number | CNWTT0.205 |
| Device Lot Number | 15855598 |
| Was Device Available for Evaluation? |
No
|
| Type of Report(Section G) | Initial |
| Initial Date Received by Manufacturer | 01/14/2025 |
| Initial Report FDA Received Date | 02/07/2025 |
| Date Device Manufactured | 05/17/2024 |
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 |
Concomitant Medical Products and Therapy/Usage Dates | CLAREON MONARCH IV IOL, INJECTOR.; MONARCH III IOL, CARTRIDGE D.; PROVISC OPHTHALMIC VISCOSURGICAL DEVICE. |
| Patient Age | 80 YR |
| Patient Sex | Female |