BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    CLAREON TORIC UV ABSORBING IOL

    MDR report key: 20894181 · Received December 10, 2024

    Report

    Report Number
    1119421-2024-02429
    Event Type
    Malfunction
    Date Received
    December 10, 2024
    Date of Event
    November 7, 2024
    Report Date
    April 15, 2025
    Manufacturer
    ALCON RESEARCH, LLC - HUNTINGTON
    Product Code
    MJP
    UDI-DI
    00380652431682
    PMA / PMN Number
    P190018
    Removal / Correction Number
    NA
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    IL, US
    Reporter Occupation
    003

    Narratives

    Additional Manufacturer Narrative · 0

    ADDITIONAL INFORMATION WAS PROVIDED IN H.3.,H.6 AND H.11. A QUALIFIED CARTRIDGE WAS INDICTED. IT IS UNKNOWN IF A QUALIFIED HANDPIECE AND VISCOELASTIC WERE USED. BASED ON THE DESCRIPTION OF THE DAMAGE IT MAY BE SIMILAR IN NATURE TO DAMAGE DETECTED USING CAVITY 173 COMPANY CARTRIDGES. 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

    CORRECTION INFORMATION WAS PROVIDED IN D.4. 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

    A PRODUCT WAS NOT RETURNED FOR ANALYSIS. COMPLAINT HISTORY AND PRODUCT HISTORY RECORDS WERE REVIEWED AND DOCUMENTATION INDICATED THE PRODUCT MET RELEASE CRITERIA. ROOT CAUSE HAS NOT BEEN IDENTIFIED. 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-HEALTH CARE PROFESSIONAL REPORTED THAT DURING AN INTRAOCULAR LENS (IOL) IMPLANT PROCEDURE, SKIP SCRATCHES WERE IDENTIFIED AND THE IOL WAS REMOVED. ADDITIONAL INFORMATION HAS BEEN REQUESTED. THERE ARE THREE MEDICAL DEVICE REPORTS ASSOCIATED WITH THIS REPORT. THIS IS 3 OF 3.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    2521811 CLAREON TORIC UV ABSORBING IOL LENS, INTRAOCULAR, TORIC OPTICS MJP ALCON RESEARCH, LLC - HUNTINGTON CCW0T3 15655726 00380652431682

    Patients

    Seq Age Sex Outcome Treatment
    1 NA Unknown MONARCH III CARTRIDGE D| UNSPECIFIED INJECTOR