FDA Adverse Event
Malfunction
Summary report: N
ACRYSOF IQ VIVITY TORIC EXTENDED VISION IOL
MDR report key: 21705845
·
Received March 27, 2025
Report
- Report Number
- 1119421-2025-00850
- Event Type
- Malfunction
- Date Received
- March 27, 2025
- Date of Event
- February 4, 2025
- Report Date
- March 27, 2025
- Manufacturer
- ALCON RESEARCH, LLC - HUNTINGTON
- Product Code
- POE
- UDI-DI
- 00380652422673
- PMA / PMN Number
- P930014
- Removal / Correction Number
- NA
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- AS
- Reporter Occupation
- NURSE
- Health Professional
- Yes
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. THIS PRODUCT IS NOT APPROVED OR INTRODUCED INTO COMMERCIAL DISTRIBUTION IN THE UNITED STATES. HOWEVER, THIS MEDWATCH IS BEING FILED BASED ON A SIMILAR PRODUCT (DFT315-615) THAT IS SOLD IN THE UNITED STATES UNDER (PMA/510(K) # P930014. THE MANUFACTURER INTERNAL REFERENCE NUMBER IS: (B)(4).
Description of Event or Problem · 0
A NURSE REPORTED THAT THERE WAS PROBLEM LOADING TRAILING HAPTIC AND HAPTIC BROKEN. LENS WAS NOT IMPLANTED. ADDITIONAL INFORMATION RECEIVED STATING THAT THE SURGERY WAS COMPLETED BY USING UNSPECIFIED REPLACEMENT IOL.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1470580 | ACRYSOF IQ VIVITY TORIC EXTENDED VISION IOL | INTRAOCULAR LENS | POE | ALCON RESEARCH, LLC - HUNTINGTON | DFT215 | 15177170 | 00380652422673 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA | Unknown | UNSPECIFIED REPLACEMENT IOL |