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Correction: on initial mdr the product code should have been a0415 instead of a0414.The sample was not returned.Provided photos show the lens outside the lens case base, adhered anterior side up to the non-serialized side of the lens case lid.The lens appears to have dried solution.One haptic is broken in the distal tip area (broken missing portion not visible in the photo).The optic edge has a large portion of optic lens material broken/torn and missing (broken/torn and missing portion not visible in the photo).The optic appears to have deep scrape marks or deep gouges in the anterior optic surface.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 indicated the use of a non-qualified lens/cartridge combination.The company lens model is only qualified for use in the company cartridges.The associated handpiece and viscoelastic were not provided.It is unknown if qualified products were used.Based on our observation of the attached photos, the haptic is broken, the optic was scraped with additional damage, and clinical solution appears to be present on the lens.It is difficult to make a final determination without evaluation of the physical sample.The root cause for the reported complaint was most likely related to a failure to follow the ifu (instructions for use).A non-qualified lens/cartridge combination was indicated.The company lens model is only qualified for use in the company cartridges.The ifu instructs company foldable iol (intraocular lens) 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.In addition, the associated handpiece and viscoelastic were not provided.It is unknown if a qualified handpiece and viscoelastic were used.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 (ophthalmic viscosurgical device) 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 manufacturer internal reference number is: (b)(4).
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