FDA Adverse Event Malfunction Summary report: N

ACRYSOF IQ NATURAL SINGLEPIECE IOL

MDR report key: 22839202 · Received August 19, 2025

Report

Report Number
1119421-2025-02281
Event Type
Malfunction
Date Received
August 19, 2025
Date of Event
July 25, 2025
Report Date
September 30, 2025
Manufacturer
ALCON RESEARCH, LLC - HUNTINGTON
Product Code
HQL
UDI-DI
00380655093238
PMA / PMN Number
P930014
Removal / Correction Number
NA
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
TH
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. THE MANUFACTURER INTERNAL REFERENCE NUMBER IS: (B)(4).

Additional Manufacturer Narrative · 0

CORRECTED INFORMATION PROVIDED IN H.6. AND H.11. CORRECTION: ON INITIAL MDR THE PRODUCT CODE OF A040609 WAS AN ERROR. IT SHOULD HAVE BEEN A140801 ON THE ORIGINAL MDR. THE MANUFACTURER INTERNAL REFERENCE NUMBER IS: (B)(4).

Description of Event or Problem · 0

A NURSE REPORTED THAT DURING AN INTRAOCULAR LENS IMPLANT PROCEDURE THE HAPTIC WAS DEFORMED OR HAPTIC ABNORMALLY EXTENDED THE SURGEON WAS NOT CONFIDENT IN USING ON PATIENT. THE SURGERY WAS COMPLETED ON THE SAME DAY. THERE WAS NO PATIENT CONTACT. ADDITIONAL INFORMATION HAS BEEN RECEIVED AND STATED THAT THE TRAILING HAPTIC WAS STUCK, WHILE RETRACT INJECTOR AND PULLING THE LENS OUT THE HAPTIC WAS TORN.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
2663590 ACRYSOF IQ NATURAL SINGLEPIECE IOL INTRAOCULAR LENS HQL ALCON RESEARCH, LLC - HUNTINGTON SN60WF 15883059 00380655093238

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown MONARCH III IOL , INJECTOR.| MONARCH III IOL, CARTRIDGE C.| VISCOAT OVD.