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Additional information was provided in h.3., h.6.And h.11.The product was not returned.Product history records were reviewed, and the documentation indicated the product met release criteria.The account indicated the use of an unspecified cartridge and handpiece.It is unknown if qualified products were used.The account indicated the use of a viscoelastic, which is not qualified for use with this lens, with any qualified lens/cartridge combination.The root cause for the reported complaint may be related to a failure to follow the instructions for use (ifu).The viscoelastic indicated is not qualified for the lens/company cartridge and handpiece combination used.The ifu instructs that a company qualified delivery system and viscoelastic combination should be used.The use of an unqualified combination may cause damage to the lens and potential complications during the implantation process.Information was provided that the healthcare professional (hcp) reported it is a problem that occurs with many preloaded company intraocular lenses (iols).The company lens model is not a company lens model.It was reported the lens remains implanted.The account indicated the use of an unspecified cartridge and handpiece.It is unknown if qualified products were used.The ifu instructs: company foldable iols are qualified for use with a company qualified delivery system (handpiece and cartridge) and ophthalmic viscosurgical device (ovd) combination.The ifu instructs that a company qualified delivery system and viscoelastic combination should be used.The use of an unqualified combination may cause damage to the lens and potential complications during the implantation process.The ifu instructs: using holding forceps, grasp the lens by the optic edge and gently place the lens anterior side up into the back of the ovd-filled cartridge.The lens should be inserted until the optic is a little more than half-way inside the cartridge.Use the holding forceps to gently push down on the lens, verifying that the lens is on the bottom surface of the cartridge.Using holding forceps, take the trailing haptic, and gently fold the haptic onto the anterior side of the optic.Slowly grip or push the optic edge to position the lens as far into the cartridge as the forceps will permit, while ensuring the lens remains on the bottom surface of the cartridge and the trailing haptic remains on the optic.Failure to follow these steps may cause the lens to advance incorrectly causing delivery issues and/or damage.The account indicated the product was not available to evaluate.Due diligence has been performed in an attempt to obtain further information on this event.The surgeon did not which to be contacted for any further follow-up information.File will be reopened if new information is received.The manufacturer internal reference number is: (b)(4).
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