FDA Adverse Event Injury Summary report: N

CLAREON VIVITY TORIC EXTENDED VISION UV ABSORBING IOL

MDR report key: 21136160 · Received January 13, 2025

Report

Report Number
1119421-2025-00142
Event Type
Injury
Date Received
January 13, 2025
Report Date
January 13, 2025
Manufacturer
ALCON RESEARCH, LLC - HUNTINGTON
Product Code
MJP
UDI-DI
00380652455329
PMA / PMN Number
P190018
Removal / Correction Number
NA
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
OR, US
Reporter Occupation
003

Narratives

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).

Description of Event or Problem · 0

A NON-HEALTHCARE PROFESSIONAL REPORTED THAT FOLLOWING AN INTRAOCULAR LENS (IOL) IMPLANT PROCEDURE, THE PATIENT VISION WAS INTOLERABLE .THE IOL WAS EXCHANGED FOR ADVANCED TECHNOLOGY INTRAOCULAR LENSES (ATIOL) MODEL LENS 3 MONTHS 26 DAYS FOLLOWING THE INITIAL IMPLANT PROCEDURE. ADDITIONAL INFORMATION HAS BEEN REQUESTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
461959 CLAREON VIVITY TORIC EXTENDED VISION UV ABSORBING IOL LENS, INTRAOCULAR, TORIC OPTICS MJP ALCON RESEARCH, LLC - HUNTINGTON CCWET3 15346127 00380652455329

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown Required Intervention