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The lens was returned for evaluation.Solution is dried on the lens.One haptic is folded over and adhered to the posterior surface of the optic.The lens is pressed against two posts in the lens case.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 a non-qualified cartridge, handpiece, and unspecified viscoelastic.The root cause is most likely a failure to follow the ifu (instruction for use).The account used an unqualified lens/company combination.Company foldable iol (intraocular lens) are qualified for use with a company qualified delivery system (handpiece and cartridge) and ophthalmic visco surgical device (ovd) combination.The 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.The manufacturer internal reference number is: (b)(4).
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A non-health care professional reported that during an intraocular lens (iol) implantation procedure, the haptic was unusable since it got stuck behind the lens, was rolled up onto itself, and was unable to load.The lens was not implanted.The procedure was completed on the same day.Additional information was requested.
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