FDA Adverse Event Malfunction Summary report: N

ACRYSOF IQ VIVITY TORIC EXTENDED VISION IOL

MDR report key: 21865315 · Received April 18, 2025

Report

Report Number
1119421-2025-01100
Event Type
Malfunction
Date Received
April 18, 2025
Date of Event
March 1, 2025
Report Date
April 18, 2025
Manufacturer
ALCON RESEARCH, LLC - HUNTINGTON
Product Code
POE
UDI-DI
00380652422826
PMA / PMN Number
P930014
Removal / Correction Number
NA
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
UK
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL
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 DAT315-615 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 HEALTH CARE PROFESSIONAL REPORTED DURING INTRAOCULAR LENS (IOL) IMPLANT PROCEDURE, THE LENS FAULTY. THE LENS WAS EXPLANTED AND REPLACED WITH BACKUP LENS DURING INITIAL PROCEDURE AS IT WAS SCRATCHED. THE PROCEDURE WAS COMPLETED ON SAME DAY. ADDITIONAL INFORMATION HAS BEEN REQUESTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1764535 ACRYSOF IQ VIVITY TORIC EXTENDED VISION IOL INTRAOCULAR LENS POE ALCON RESEARCH, LLC - HUNTINGTON DFT215 15698760 00380652422826

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown