| Brand Name | MONARCH III IOL DELIVERY SYSTEM, INJECTOR |
| Common Device Name | LENS, GUIDE, INTRAOCULAR |
| Manufacturer (Section D) |
| ALCON RESEARCH, LLC - ALCON PRECISION DEVICE |
| 714 columbia avenue |
| sinking spring PA 19608 |
|
| Manufacturer (Section G) |
| ALCON RESEARCH, LLC - ALCON PRECISION DEVICE |
| 714 columbia avenue |
|
| sinking spring PA 19608 |
|
| Manufacturer Contact |
|
jonathan
schlech
|
| 6201 south freeway |
| mail stop ab2-6 |
| fort worth, TX 76134
|
|
8007579780
|
|
| MDR Report Key | 24247658 |
| Report Number | 2523835-2026-00122 |
| Device Sequence Number | 21247077 |
| Product Code |
KYB
|
| UDI-Device Identifier | 00380659777738 |
| UDI-Public | (01)00380659777738(17)330930(11)231031(10)16A0RT |
| Combination Product (Y/N) | N |
| Initial Reporter Country | CH |
| PMA/510(K) Number | K063155 |
| Number of Events Summarized | 1 |
| Summary Report (Y/N) | N |
| Reporter Type |
Manufacturer
|
| Report Source |
Foreign,Company Representative |
| Initial Reporter Occupation |
Non-Healthcare Professional
|
| Type of Report
| Initial,Followup,Followup |
| Report Date (Section B) |
06/18/2026 |
| 1 Device was Involved in the Event |
|
| 1 Patient was Involved in the Event |
|
| Is this an Adverse Event Report? |
No
|
| Is this a Product Problem Report? |
Yes
|
| Operator of Device |
Health Professional
|
| Device Model Number | III |
| Device Catalogue Number | 8065977773 |
| Device Lot Number | 16A0RT |
| Was Device Available for Evaluation? |
Device Returned to Manufacturer
|
| Type of Report(Section G) | Initial |
| Initial Date Received by Manufacturer | 01/09/2026 |
| Supplement Date Received by Manufacturer | 03/02/2026 05/25/2026
|
| Initial Report FDA Received Date | 02/03/2026 |
| Supplement Report FDA Received Date | 03/24/2026 06/18/2026
|
| Was Device Evaluated by Manufacturer? (Y/N) |
Yes
|
| Date Device Manufactured | 10/31/2023 |
Is This a Single-Use Device that was Reprocessed and Reused on a Patient? (Y/N) |
No
|
| Usage of Device |
Reuse
|
| Patient Sequence Number | 1 |
| Patient Sex | Unknown |