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