| 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 fwy |
| mail stop ab2-6 |
| fort worth, TX 76134
|
|
+1(800)757-9780
|
|
| MDR Report Key | 50260164 |
| Report Number | 2523835-2026-00840 |
| Device Sequence Number | 21504932 |
| Product Code |
KYB
|
| UDI-Device Identifier | 00380659777738 |
| Combination Product (Y/N) | N |
| Initial Reporter Country | BR |
| 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 |
| Report Date (Section B) |
08/14/2026 |
| 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 | 308142M |
| Was Device Available for Evaluation? |
No
|
| Is the Reporter a Health Professional? |
No
|
| Initial Date Received by Manufacturer | 07/21/2026 |
| Initial Report FDA Received Date | 08/14/2026 |
| Was Device Evaluated by Manufacturer? (Y/N) |
No
|
| Date Device Manufactured | 08/02/2019 |
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 |
|
|