CLAREON MONARCH IV IOL DELIVERY SYSTEM, INJECTOR
Report
- Report Number
- 2523835-2026-00314
- Event Type
- Malfunction
- Date Received
- March 24, 2026
- Date of Event
- February 25, 2026
- Report Date
- March 24, 2026
- Manufacturer
- ALCON RESEARCH, LLC - ALCON PRECISION DEVICE
- Product Code
- MSS
- PMA / PMN Number
- K212039
- Removal / Correction Number
- NA
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- CO
- Reporter Occupation
- OTHER HEALTH CARE PROFESSIONAL
- Health Professional
- Yes
Narratives
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. THE MANUFACTURER INTERNAL REFERENCE NUMBER IS: (B)(4). H.10 REFLECTS ALL RELATED REPORT NUMBERS ASSOCIATED WITH THIS PRODUCT EVENT THAT HAVE BEEN SUBMITTED AT THIS TIME.
A HEALTHCARE PROFESSIONAL REPORTED DURING INTRAOCULAR LENS (IOL) IMPLANT PROCEDURE, DIFFICULTY IN THE OUTPUT OF THE INJECTOR, SO SURGEON DECIDED NOT TO IMPLANT IT IN THE PATIENT AND NOTICED ONCE THE LENS COMES OUT THAT HAPTIC WAS FRACTURED. REPORTER CONSIDERED THAT THE ADVERSE EVENTS PRESENTED MAY BE RELATED TO THE INJECTOR. ADDITIONAL INFORMATION HAS BEEN REQUESTED AND RECEIVED STATING THERE WAS NO PATIENT CONTACT. THE PROCEDURE WAS COMPLETED ON SAME DAY.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 183640 | CLAREON MONARCH IV IOL DELIVERY SYSTEM, INJECTOR | FOLDERS AND INJECTORS , INRAOCULAR LENS (IOL) | MSS | ALCON RESEARCH, LLC - ALCON PRECISION DEVICE | IV | ASKU |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |