FDA Adverse Event Injury Summary report: N

ORA SYSTEM 2000

MDR report key: 20398157 · Received October 8, 2024

Report

Report Number
2028159-2024-01536
Event Type
Injury
Date Received
October 8, 2024
Report Date
December 30, 2024
Manufacturer
ALCON RESEARCH, LLC - IRVINE TECHNOLOGY CENTER
Product Code
NCF
PMA / PMN Number
EXEMPT
Removal / Correction Number
NA
Report Source
Manufacturer report
Reporter Location
AZ, US
Reporter Occupation
003

Narratives

Additional Manufacturer Narrative · 0

H.3., H.6.: INVESTIGATION, INCLUDING ROOT CAUSE ANALYSIS, IS IN PROGRESS. A SUPPLEMENTAL MDR WILL BE FILED AS NECESSARY IN ACCORDANCE WITH 21 CFR 803.56 WHEN ADDITIONAL REPORTABLE INFORMATION BECOMES AVAILABLE. 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.

Additional Manufacturer Narrative · 0

ADDITIONAL INFORMATION PROVIDED IN H.3., H.6., AND H.11. ALL DEVICE HISTORY RECORDS ARE REVIEWED PRIOR TO PRODUCT RELEASE TO ENSURE THE PRODUCT WAS MANUFACTURED IN COMPLIANCE WITH THE DEVICE MASTER RECORD AND MEETS RELEASE CRITERIA. BASED ON THE INFORMATION OBTAINED, THE ROOT CAUSE OF THE REPORTED EVENT IS INCONCLUSIVE 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.

Description of Event or Problem · 0

A NON-HEALTHCARE PROFESSIONAL REPORTED THAT AN EXPLANTED INTRAOCULAR LENS FOR MYOPIC OUTCOME AND THE SYSTEM DISPLAYED AN INCORRECT MEASUREMENTS, INABILITY TO ACHIEVE THE TARGET REFRACTIVE OUTCOME IN THE PATIENT¿S LEFT EYE. FOLLOWING WITH LENS EXCHANGE THE POST-OPERATIVE TREATMENT RESULT WAS LESS THAN ONE DIOPTER AFTER SURGERY. THERE WAS NO PATIENT HARM.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
635662 ORA SYSTEM 2000 ABERROMETER, OPHTHALMIC NCF ALCON RESEARCH, LLC - IRVINE TECHNOLOGY CENTER NA ASKU

Patients

Seq Age Sex Outcome Treatment
1 68 YR Female Required Intervention CLAREON VIVITY EXTENDED VISION UV ABSORBING IOL| CLAREON VIVITY EXTENDED VISION UV ABSORBING IOL