FDA Adverse Event Malfunction Summary report: N

CLAREON IOL WITH THE AUTONOME DELIVERY SYSTEM

MDR report key: 23415439 · Received October 29, 2025

Report

Report Number
9612169-2025-02170
Event Type
Malfunction
Date Received
October 29, 2025
Date of Event
September 24, 2025
Report Date
January 6, 2026
Manufacturer
ALCON LABORATORIES IRELAND LTD.
Product Code
HQL
UDI-DI
00380652393720
PMA / PMN Number
P190018
Removal / Correction Number
NA
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
AS
Reporter Occupation
PHYSICIAN
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 WAS PROVIDED IN H.6., AND H.11. CORRECTION: ON INITIAL MDR THE PRODUCT CODE OF A140801 WAS AN ERROR. IT SHOULD HAVE BEEN A140504 ON THE ORIGINAL MDR. THE MANUFACTURER INTERNAL REFERENCE NUMBER IS: (B)(4).

Description of Event or Problem · 0

A PHYSICIAN REPORTED THAT DURING AN INTRAOCULAR LENS (IOL) IMPLANT PROCEDURE, THE LENS WAS STUCK ON THE INCISION SITE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
2719165 CLAREON IOL WITH THE AUTONOME DELIVERY SYSTEM INTRAOCULAR LENS HQL ALCON LABORATORIES IRELAND LTD. CNA0T0 25905035 00380652393720

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown