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A facility representative reported that during an intraocular lens (iol) implant procedure, it was noted that the lens had a broken haptic.It was inserted before noticing the defect.The iol was explanted during initial procedure.Additional information has been requested, received and stated lens was loaded and inserted into patient's eye.Surgeon noticed back haptic was torn but not completely ripped off.Lens was removed using mst instruments.An unspecified new lens was loaded and delivered without complications.Iol was compromised prior to insertion and was not seen until in eye under microscope.There was no patient harm.
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Additional information provided in d.9., h.3., h.6.And h.11.The lens was returned positioned incorrectly in the lens case.Solution was dried on the lens.One haptic was broken in the gusset area (not returned).The other haptic was bent in the gusset and distal area.The optic was pressed against the posts of the lens case.Product history records were reviewed and the documentation indicated the product met release criteria.Qualified associated products were indicated.The reported broken haptic was observed.All lenses are 100 percent inspected for cosmetic attributes and the damage exhibited by the returned complaint sample would not have met company¿s release criteria.Based on our observation, and the review of manufacturing records, it can be reasonably concluded that the damage is not manufacturing related.Due to the presence of surgical solution and the condition of the returned sample, the damage is most likely related to customer handling.The instructions for use (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 ophthalmic viscosurgical device (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 ifu instructs: follow the section regarding directions for use for information on the maximum allowed time for the iol to stay in the folded condition.Failure to adhere to manufacturer¿s recommendations may result in iol damage.Ifu note: during lens loading and insertion, do not allow the company model iol to remain in a folded condition within the selected iol delivery system for more than 3 minutes prior to completing insertion into the capsular bag.The manufacturer internal reference number is: (b)(4).
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