FDA Adverse Event Injury Summary report: N

CLAREON ASPHERIC HYDROPHOBIC ACRYLIC IOL

MDR report key: 21643637 · Received March 19, 2025

Report

Report Number
1119421-2025-00753
Event Type
Injury
Date Received
March 19, 2025
Date of Event
November 19, 2024
Report Date
January 30, 2026
Manufacturer
ALCON RESEARCH, LLC - HUNTINGTON
Product Code
HQL
UDI-DI
00380652251471
PMA / PMN Number
P190018
Removal / Correction Number
NA
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
MI, 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). 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 B.5., D.10., H.3. AND H.6. 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 B.5., D6A., E.4. AND H.3. 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 FACILITY REPRESENTATIVE REPORTED THAT FOLLOWING AN INTRAOCULAR LENS (IOL) IMPLANT PROCEDURE, THE PATIENT COULDN'T TOLERATE LENS. ADDITIONAL INFORMATION HAS BEEN RECEIVED THAT LENS WAS EXCHANGED FOR COMPANY LENS MODEL AFTER 2 MONTHS. THE PATIENT WAS NOT ABLE TO READ DUE TO EDEMA AFTER LENS EXCHANGE.

Description of Event or Problem · 0

ADDITIONAL INFORMATION HAS BEEN RECEIVED THAT PATIENT HAD CORNEAL TRANSPLANT ON (B)(6) 2025, CORNEA WAS CLEAR. VISION WAS NOT IMPROVED SEEN MULTIPLE SPECIALIST AND THEY HAVE NOT DETERMINED CAUSE OF DECREASED VISION.

Description of Event or Problem · 0

ADDITIONAL INFORMATION HAS BEEN RECEIVED THAT PATIENT WAS SCHEDULED FOR CORNEAL TRANSPLANT IN EYE DUE CORNEAL ISSUES.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
640409 CLAREON ASPHERIC HYDROPHOBIC ACRYLIC IOL INTRAOCULAR LENS HQL ALCON RESEARCH, LLC - HUNTINGTON SY60WF 15893027 00380652251471

Patients

Seq Age Sex Outcome Treatment
1 65 YR Male Required Intervention| O CLAREON MONARCH IV INJECTOR| CLAREON PANOPTIX TRIFOCAL HYDROPHOBIC| MONARCH III IOL CARTRIDGE D| PROVISC