| Brand Name | MONARCH III IOL Delivery System, Cartridge D |
| Common Device Name | Folders and Injectors, Intraocular Lens (IOL) |
| Manufacturer (Section D) |
| Alcon Research, LLC - Huntington |
| 246 kyle lane |
| huntington WV 25702 |
|
| Manufacturer (Section G) |
| Alcon Research, LLC - Huntington |
| 246 kyle lane |
|
| huntington WV 25702 |
|
| Manufacturer Contact |
|
jonathan
schlech
|
| 6201 south freeway |
| mail stop ab2-6 |
| fort worth, TX 76134
|
|
+1(800)757-9780
|
|
| MDR Report Key | 50221636 |
| Report Number | 1119421-2026-01688 |
| Device Sequence Number | 5432737 |
| Product Code |
MSS
|
| UDI-Device Identifier | 00380659777639 |
| UDI-Public | (01)00380659777639(17)290517(11)260519(10)16266895 |
| Combination Product (Y/N) | N |
| Initial Reporter State | LA |
| Initial Reporter Country | US |
| PMA/510(K) Number | K063155 |
| Number of Events Summarized | 1 |
| Summary Report (Y/N) | N |
| Reporter Type |
Manufacturer
|
| Initial Reporter Occupation |
Non-Healthcare Professional
|
| Type of Report
| Initial |
| Report Date (Section B) |
08/12/2026 |
| 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 Catalogue Number | 8065977763 |
| Device Lot Number | 16266895 |
| Was Device Available for Evaluation? |
Yes
|
| Date Returned to Manufacturer | 08/06/2026 |
| Is the Reporter a Health Professional? |
No
|
| Initial Date Received by Manufacturer | 07/21/2026 |
| Initial Report FDA Received Date | 08/12/2026 |
| Was Device Evaluated by Manufacturer? (Y/N) |
Yes
|
| Date Device Manufactured | 05/19/2026 |
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 |
| Patient Sex | Unknown |