MAUDE Adverse Event Report: CARL ZEISS MEDITEC PRODUCTION LLC CT LUCIA; CT LUCIA 602

Model Number	602
Medical Device Problem Codes	Off-Label Use (1494); Use of Device Problem (1670)
Health Effect - Clinical Code	Visual Impairment (2138)
Date of Event	06/30/2025
Type of Reportable Event	Serious Injury
Additional Manufacturer Narrative
The device has not yet been received thus a proper device analysis could not be completed nor the reported issue confirmed.Based on the information provided, the risk assessment for the lucia 3-piece product, and our experience, we have determined that the following factors may have caused or contributed to the reported issue: off-label use of the yamane technique: the ct lucia 602 lens is not validated for use with the yamane scleral fixation technique.This off-label method introduces rotational forces and anchoring dynamics that are not accounted for in the design specifications of the lens.In this case, the surgeon reported an iol with a kinked haptic which ultimately required explantation.The haptics, while ideal for traditional in-the-bag implantation, may not provide the necessary resistance or stability when fixed externally via the yamane technique.The product was manufactured according to specifications, and no product-related deficiency was identified.The reported failure is attributable to off-label handling, not a product malfunction.The device history records were reviewed and there were no non-conformities or deviations noted during the manufacturing of the lens that would have caused or contributed to the nature of this complaint.Additionally, our lenses are 100% inspected before they leave our manufacturing site.Therefore, we are confident that the lens was processed per standard operating procedures and inspections and have met all criteria for release.
Event or Problem Description
It was reported that an ct lucia 602 lens (iol) with a kinked haptic was explanted.The customer confirmed no damage was noted during device preparation, and the procedure utilized a zeiss injector with a z28 cartridge.A second zeiss lens was implanted to complete the surgery, though the exact placement (sulcus or capsular bag) is unknown.The case was prolonged by approximately 15 minutes due to the removal of the damaged lens.The yamane technique was employed during the procedure, and no patient injury occurred.

• Brand Name: CT LUCIA
• Common Device Name: CT LUCIA 602
• Manufacturer (Section D): CARL ZEISS MEDITEC PRODUCTION LLC; 1040 s vintage ave. bld. a; ontario CA 91761
• Manufacturer (Section G): CARL ZEISS MEDITEC PRODUCTION LLC; 1040 s vintage ave. bld. a; ontario CA 91761
• Manufacturer Contact: manjaya hegde ; 5300 central parkway; dublin, CA 94568 ; 9252164697
• MDR Report Key: 22555271
• Report Number: 3010126268-2025-00030
• Device Sequence Number: 9576526
• Product Code: HQL
• UDI-Device Identifier: 00843045100980
• UDI-Public: (01)00843045100980(17)291031
• Combination Product (Y/N): N
• Initial Reporter State: GA
• Initial Reporter Country: US
• PMA/510(K) Number: P100016-S019
• Number of Events Summarized: 1
• Summary Report (Y/N): N
• Device Implanted Year: 2025
• Device Explanted Year: 2025
• Serviced by Third Party (Y/N): N
• Reporter Type: Manufacturer
• Report Source: Health Professional,Company Representative
• Initial Reporter Occupation: Other Health Care Professional
• Type of Report: Initial
• Report Date (Section B): 07/21/2025

1 Device was Involved in the Event

1 Patient was Involved in the Event

• Is this an Adverse Event Report?: Yes
• Is this a Product Problem Report?: No
• Operator of Device: Health Professional
• Device Model Number: 602
• Device Catalogue Number: 003500-0050-673
• Device Lot Number: 3S241065
• Was Device Available for Evaluation?: No
• Is the Reporter a Health Professional?: Yes
• Type of Report(Section G): Thirty-Day
• Initial Date Received by Manufacturer: 06/30/2025
• Initial Report FDA Received Date: 07/21/2025
• Was Device Evaluated by Manufacturer? (Y/N): No
• Date Device Manufactured: 11/26/2024
• Is the Device Labeled for Single Use? (Y/N): Yes
• Is This a Single-Use Device that was Reprocessed and Reused on a Patient? (Y/N): No
• Usage of Device: Initial
• Patient Sequence Number: 1
• Outcome Attributed to Adverse Event: Required Intervention
• Patient Sex: Unknown