FDA Adverse Event Injury Summary report: N

ALLY ADAPTIVE CATARACT TREATMENT SYSTEM

MDR report key: 25067253 · Received May 4, 2026

Report

Report Number
3009026057-2026-00017
Event Type
Injury
Date Received
May 4, 2026
Date of Event
April 10, 2026
Report Date
April 28, 2026
Manufacturer
LENSAR, INC.
Product Code
OOE
UDI-DI
00867744000150
PMA / PMN Number
K220529
Removal / Correction Number
N/A
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
CA, US
Reporter Occupation
PHYSICIAN
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

REVIEW OF PROCEDURE #1507 SHOWS BUBBLE BREAK THROUGH INTO THE ANTERIOR CHAMBER ON IMAGING FRAMES 28-29. THE ALIGNMENT CAMERA SHOWS THE SURGEON PROPERLY LOCKING PATIENT AT THE START OF THE PROCEDURE. VIDEO IMAGING SHOWS SOME SLIGHT PATIENT MOVEMENT. ARCUATE DEPTH SETTINGS MAY BE ADJUSTED FROM 85% TO 80% AT THE SURGEON'S DISCRETION TO PROVIDE A LARGER SAFETY MARGIN. SYSTEM FUNCTIONED AS DESIGNED. THE PATIENT IS DOING WELL AFTER A SUTURE WAS PLACED. NO FURTHER CLINICAL FOLLOW UP IS REQUIRED.

Description of Event or Problem · 0

ON (B)(6) 2026, DOCTOR (B)(6) REPORTED TO CAS THAT DURING PROCEDURE ID #1507, FULL THICKNESS OCCURRED DURING THE TEMPORAL AK. THEY NOTED THAT A SUTURE WAS PLACED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
112533 ALLY ADAPTIVE CATARACT TREATMENT SYSTEM ALLY ADAPTIVE CATARACT TREATMENT SYSTEM OOE LENSAR, INC. N/A N/A 00867744000150

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown Other