| Model Number |
SY60WF |
| Medical Device Problem Codes |
Failure to Deliver (2338); Material Split, Cut or Torn (4008)
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| Health Effect - Clinical Code |
Insufficient Information (4580)
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| Date of Event |
06/03/2025
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Type of Reportable Event
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Malfunction
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Event or Problem Description
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A healthcare professional reported that during an intraocular lens (iol) implant procedure, iol was loaded into cartridge seamlessly.When the iol was injected, it was trapped in a tunnel observing the damaged optics.The iol was removed where such damage was evidenced.The surgery was completed on same day with unspecified replacement iol.Additional information received stating that the lens was not implanted in the patient.
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Additional Manufacturer Narrative
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A product was not returned for analysis.Complaint history and product history records were reviewed and documentation indicated the product met release criteria.Root cause has not been identified.The manufacturer internal reference number is: (b)(4).
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Additional Manufacturer Narrative
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Additional information was provided in h.3., h.6.And h.11.The lens was returned for evaluation.Solution is dried on the lens.The lens is cut and broken into three pieces and adhered to each other by solution.A notch is broken off the edge of the optic.One section of the optic is split cracked across the center.A device history record review and a non-conformance review of the reported lot number was conducted.The deviation review did not reveal any potential contributing factors to the reported complaint and all corresponding production release specifications defined in the device master record were met.The file indicates the use of unspecified associated products.It is unknown if qualified associated products were used lens damage 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 release criteria.Based on our observation, 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.It is unknown if qualified associated products were used.Company foldable intraocular lenses (iols) are qualified for use with a company qualified delivery system (handpiece and cartridge) and ophthalmic viscosurgical device (ovd) combination.The instructions for use (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.Company iol ifu: 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.The manufacturer internal reference number is: (b)(4).
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Search Alerts/Recalls
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