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Additional information was provided in d.9., h.3., h.6.And h.11.Part of the lens was returned in a specimen cup.The lens was submerged in liquid along with a sponge.The rest of the lens was not found in the container.The haptic had forceps marks.The optic had angle cracked areas.The optic had been cut from the edge across the center, typical of removal.The lens was cleaned with klrp.No further damage was observed.The returned lens matched the provided photos.A qualified cartridge and handpiece were used.It is unknown if a qualified viscoelastic was used.The root cause for the lens damage appeared to be related to a failure to follow the instructions for use (ifu).Here did not appear to be adequate viscoelastic in the cartridge.The used company cartridge was received still installed in the handpiece.The cartridge had not been fully seated.This could have cause the lens or plunger not be positioned correctly during advancement.The observed lens damage would indicate a plunger override occurred.Top coat dye stain testing was conducted with acceptable results.The handpiece ifu instructs: slide the cartridge fully forward into the handpiece slot until it is secured firmly into position.It is unknown if a qualified viscoelastic was used.The ifu instructs that an 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 to completely fill the cartridge with ovd immediately prior to loading and delivery of the lens.Do not attempt to load the lens without adequate ovd in the device.Not adequately filling the device with viscoelastic will result in inadequate coverage of lens and the lens fold path with ovd, which may result in damage.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.Important: the plunger should make initial contact with the cartridge at the ramp.In the event the plunger does not contact the cartridge at the ramp, do not use the handpiece and contact company.The handpiece ifu instructs: verify that the plunger tip is properly engaging the lens optic and that the lens moves forward at the same rate as the plunger while slowly advancing the plunger forward to avoid damaging the lens.When the threads on the knob make contact with the barrel, turn the knob clockwise approximately half turn to engage the threads and then stop.The iol will now be in the dwell position.Inspect to ensure the plunger is behind the optic.File will be reopened if new information 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.
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