FDA Adverse Event Injury Summary report: N

CLAREON VIVITY EXTENDED VISION UV ABSORBING IOL

MDR report key: 22034079 · Received May 16, 2025

Report

Report Number
1119421-2025-01408
Event Type
Injury
Date Received
May 16, 2025
Report Date
May 16, 2025
Manufacturer
ALCON RESEARCH, LLC - HUNTINGTON
Product Code
POE
UDI-DI
00380652405713
PMA / PMN Number
P190018
Removal / Correction Number
NA
Adverse Event
Yes
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
MA, US
Reporter Occupation
003

Narratives

Additional Manufacturer Narrative · 0

A SAMPLE DEVICE 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 FACILITY REPRESENTATIVE REPORTED THAT FOLLOWING AN INTRAOCULAR LENS (IOL) IMPLANT PROCEDURE, THE PATIENT HAD POOR VISION. THE IOL WAS EXCHANGED FOR UNSPECIFIED MONOFOCAL LENS. CLINICAL REASON FOR EXPLANT MENTIONED AS IOL DISLOCATION AT POST OPERATIVE VISIT 3. ADDITIONAL INFORMATION HAS BEEN REQUESTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1880566 CLAREON VIVITY EXTENDED VISION UV ABSORBING IOL EXTENDED DEPTH OF FOCUS INTRAOCULAR LENS POE ALCON RESEARCH, LLC - HUNTINGTON CCWET0 15793438 00380652405713

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown Required Intervention