| Brand Name | Light Adjustable Lens+ (LAL+) |
| Common Device Name | Light Adjustable Lens+ (LAL+) |
| Manufacturer (Section D) |
| RxSight, Inc. |
| 100 columbia |
| aliso viejo CA 92656 |
|
| Manufacturer (Section G) |
| RxSight, Inc. |
| 100 columbia |
|
| aliso viejo CA 92656 |
|
| Manufacturer Contact |
|
jim
zhang
|
| 100 columbia |
| aliso viejo, CA 92656
|
|
+1(949)273-6163
|
|
| MDR Report Key | 50010775 |
| Report Number | 3012712027-2026-00333 |
| Device Sequence Number | 5791119 |
| Product Code |
PZK
|
| UDI-Device Identifier | 00818806021521 |
| UDI-Public | (01)00818806021521(11)260330(17)290228 |
| Combination Product (Y/N) | N |
| Initial Reporter State | PA |
| Initial Reporter Country | US |
| PMA/510(K) Number | P160055 |
| Number of Events Summarized | 1 |
| Summary Report (Y/N) | N |
| Device Implanted Year | 2026 |
| Device Explanted Year | 2026 |
| Serviced by Third Party (Y/N) | N |
| Reporter Type |
Manufacturer
|
| Report Source |
Health Professional,Company Representative |
| Initial Reporter Occupation |
Physician
|
| Type of Report
| Initial |
| Report Date (Section B) |
07/23/2026 |
| 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? |
Yes
|
| Operator of Device |
Health Professional
|
| Device Model Number | 60007 |
| Device Catalogue Number | 60007 |
| Device Lot Number | L08-010102 |
| Was Device Available for Evaluation? |
Yes
|
| Date Returned to Manufacturer | 07/09/2026 |
| Is the Reporter a Health Professional? |
Yes
|
| Type of Report(Section G) | Thirty-Day |
| Initial Date Received by Manufacturer | 06/25/2026 |
| Initial Report FDA Received Date | 07/27/2026 |
| Was Device Evaluated by Manufacturer? (Y/N) |
No
|
| Date Device Manufactured | 03/30/2026 |
| 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 |
Concomitant Medical Products and Therapy/Usage Dates | RxSight Insertion Device, Model 63002. |
| Outcome Attributed to Adverse Event |
Required Intervention;
|
| Patient Age | 55 YR |
| Patient Sex | Male |
| Patient Race | White |