FDA Adverse Event Malfunction Summary report: N

CLAREON IOL WITH THE AUTONOME DELIVERY SYSTEM

MDR report key: 22932099 · Received September 2, 2025

Report

Report Number
9612169-2025-01745
Event Type
Malfunction
Date Received
September 2, 2025
Date of Event
August 7, 2025
Report Date
November 12, 2025
Manufacturer
ALCON LABORATORIES IRELAND LTD.
Product Code
HQL
UDI-DI
00380652393737
PMA / PMN Number
P190018
Removal / Correction Number
NA
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
AS
Reporter Occupation
003

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

CORRECTION INFORMATION WAS PROVIDED IN H.6. (FDA PRODUCT CODE A140504 ADDED). THE MANUFACTURER INTERNAL REFERENCE NUMBER IS: (B)(4).

Description of Event or Problem · 0

A NON-HEALTHCARE PROFESSIONAL REPORTED THAT DURING INTRAOCULAR LENS (IOL) IMPLANT PROCEDURE, IT WAS NOTICED THAT THE LENS WENT IN UPSIDE DOWN AND WAS TWISTING IN THE EYE AFTER THE IOL WAS IMPLANTED INTO THE EYE. THE LENS WAS EXPLANTED DURING INITIAL PROCEDURE AND THE PROCEDURE WAS COMPLETED ON THE SAME DAY. ADDITIONAL INFORMATION WAS REQUESTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
2222235 CLAREON IOL WITH THE AUTONOME DELIVERY SYSTEM INTRAOCULAR LENS HQL ALCON LABORATORIES IRELAND LTD. CNA0T0 26015527 00380652393737

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown UNKNOWN VISCOELASTIC