| Model Number |
SN6AT4 |
| Medical Device Problem Code |
Device Damaged by Another Device (2915)
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| Health Effect - Clinical Code |
Insufficient Information (4580)
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| Date of Event |
03/02/2026
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Type of Reportable Event
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Serious Injury
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Event or Problem Description
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A physician reported that during cataract surgery with intraocular lens (iol) implantation, the cartridge broke at the implantation stage and consequently led to damage of the implanted lens.The lens was later removed in a secondary procedure.There was no further impact to the patient.Additional information has been requested but is not available at the time of this report.
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Additional Manufacturer Narrative
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The 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 provided in section d.10.The manufacturer internal reference number is: (b)(4).H.10 reflects all related report numbers associated with this product event that have been submitted at this time.
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Additional Manufacturer Narrative
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Additional information provided in sections d.9., h.3., h.6., and h.11.The lens was returned adhered to the outside of a company provided iii (c) cartridge inside a small plastic pouch.The lens had a small amount of viscoelastic dried on it.The optic had a large scrape mark on the posterior surface, which started at the trailing haptic gusset and travelled inward.This damage was similar to damage caused by a plunger underride.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.A non-qualified company provided iii (d) cartridge was indicated and a non-qualified company provided iii (c) cartridge was returned with the sample.The company provided, 33.0 diopter intraocular lens (iol) is only qualified for use with the company provided ii (b) cartridge.The correct cartridge is indicated on the lens case and lens carton labels.The lens optic had a large scrape mark on the posterior surface, which started at the trailing haptic gusset and travelled inward.This damage was similar to damage caused by a plunger underride.The root cause for the damage would be related to a failure to follow the instructions for use (ifu).The company provided, 33.0 diopter iol is only qualified for use with the company provided ii (b) cartridge.The correct cartridge is indicated on the lens case and lens carton labels.The ifu instructs: company provided foldable iols are qualified for use with a company provided qualified delivery system (handpiece and cartridge) and ophthalmic viscosurgical device (ovd) combination.The ifu instructs that a company provided 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 manufacturer internal reference number is: (b)(4).H.10 reflects all related report numbers associated with this product event that have been submitted at this time.
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Search Alerts/Recalls
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