ACRYSOF IQ NATURAL SINGLEPIECE IOL
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
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).
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).
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. |