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The lens was returned positioned incorrectly in the lens case.Solution was dried on the lens.The anterior optic surface was scraped between the optic center and the optic edge.The posterior optic surface also has scratches near the edge.The lens was cleaned with klrp to further evaluate.One haptic was torn (still attached) in the gusset area.Product history records were reviewed and the documentation indicated the product met release criteria.Associated product information was not provided.It is unknown if qualified products were used.One haptic was torn and still attached.This damage was most likely interpreted as the reported broken haptic complaint.All lenses are 100 percent inspected for cosmetic attributes and the damage exhibited by the returned complaint sample would not have met company 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 instruction for use (ifu) instructs: company foldable iols are qualified for use with an company qualified delivery system (handpiece and cartridge) and ophthalmic viscosurgical device (ovd) combination.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: 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 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 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.Information in the file indicated that the broken haptic was noticed during the surgical procedure.File will be reopened if new information is received.The manufacturer internal reference number is: (b)(4).
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A physician reported that during the intraocular lens (iol) implant procedure, the lens haptic was broken and it was not used.It was stated that, the issue was observed after the product was opened.There was no patient contact and no impact.Additional information received and confirmed that, the fracture in the relevant haptic was noticed during the surgical procedure.
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