LENSX LASER SYSTEM
Report
- Report Number
- 2028159-2025-01597
- Event Type
- Malfunction
- Date Received
- October 27, 2025
- Date of Event
- September 29, 2025
- Report Date
- December 26, 2025
- Manufacturer
- ALCON LENSX, INC.
- Product Code
- OOE
- UDI-DI
- 00380659981623
- PMA / PMN Number
- K163551
- Removal / Correction Number
- NA
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- BR
- Reporter Occupation
- 003
Narratives
ADDITIONAL INFORMATION PROVIDED IN H.3., H.6., AND H.11. A MANUFACTURING DEVICE HISTORY RECORD REVIEW WAS PERFORMED PRIOR TO PRODUCT RELEASE TO ENSURE THAT THE PRODUCT WAS MANUFACTURED IN COMPLIANCE WITH THE DEVICE MASTER RECORD. BASED ON THE ASSESSMENT, THE PRODUCT MET RELEASE CRITERIA. SERVICE HISTORY WAS REVIEWED FOR THE SYSTEM. THERE WAS NO SERVICE RECORD (RELEVANT TO THE REPORTED EVENT), FOUND. HOWEVER, THE SYSTEM WAS LAST SERVICED AFTER THE REPORTED EVENT PER SERVICE RECORD (SR). THE SYSTEM FOUND TO MEET ALL COSMETIC AND PERFORMANCE STANDARDS. BASED ON THE INFORMATION OBTAINED, THE ROOT CAUSE OF THE REPORTED EVENT IS INCONCLUSIVE. THE MANUFACTURER INTERNAL REFERENCE NUMBER IS: (B)(4).
H.3., H.6.: INVESTIGATION, INCLUDING ROOT CAUSE ANALYSIS, IS IN PROGRESS. A SUPPLEMENTAL MDR WILL BE FILED AS NECESSARY IN ACCORDANCE WITH 21 CFR 803.56 WHEN ADDITIONAL REPORTABLE INFORMATION BECOMES AVAILABLE. ALCON LENSX (SITE #3008772169) IS NO LONGER OPERATIONAL. LENSX MANUFACTURED PRODUCTS ARE MAINTAINED AND INVESTIGATED BY THE ALCON RESEARCH, LTD. IRVINE TECHNOLOGY CENTER SITE #2028159). THE MANUFACTURER INTERNAL REFERENCE NUMBER IS: (B)(4).
A NON-HEALTHCARE PROFESSIONAL REPORTED THAT DURING INCISION THE RING CUT WAS NOT COMPLETED (CUT IN HALF) RESULTING IN AN INCOMPLETE CUT IN THE UNKNOWN EYE OF A PATIENT AND MAKING IT IMPOSSIBLE TO CONTINUE WITH THE REFRACTIVE SURGERY. INTERVENTION WAS NOT REQUIRED.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 2793787 | LENSX LASER SYSTEM | OPHTHALMIC FEMTOSECOND LASER | OOE | ALCON LENSX, INC. | 550 | NA | 00380659981623 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA | Unknown |