FDA Adverse Event Injury Summary report: N

ALLY ADAPTIVE CATARACT TREATMENT SYSTEM

MDR report key: 25067271 · Received May 4, 2026

Report

Report Number
3009026057-2026-00020
Event Type
Injury
Date Received
May 4, 2026
Date of Event
December 5, 2025
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
NE, US
Reporter Occupation
PHYSICIAN
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

REVIEW OF PROCEDURE ID# (B)(6) VIDEO AND IMAGING SHOWS PATIENT MOVEMENT DURING THE FIRST PART OF PROCEDURE AND RIGHT AFTER AK WAS MADE CHANGING EYE POSITIONING FROM THE POINT OF SCANNING. 1 ARCUATE INCISION OF 70 DEGREE @ 35 WAS PROGRAMMED WITH A 600 MICRON FIXED DEPTH AND RESIDUAL 150 MICRON BED DEPTH WITH ENERGY AT 3.0UJ. BUBBLES APPEAR TO BE IN THE ANTERIOR CHAMBER AFTER THE ARCUATE WAS MADE INDICATING POTENTIAL POSTERIOR PENETRATION OF THE CORNEA IN THAT REGION. RECOMMEND REVIEW OF LOCKING PATIENT AND PAUSING TREATMENT DURING MOVEMENT AND ADJUSTING AK DEPTH TO 80% AND ENERGY TO 2.8UJ. SYSTEM FUNCTIONED AS DESINGED. NO FURTHER CLINICAL FOLLOW UP IS REQUIRED.

Description of Event or Problem · 0

ON (B)(6) 2026, WHILE CAS WAS ON SITE FOR SURGERY SUPPORT, DOCTOR ((B)(6)) REPORTED THAT THEY NOTED A FULL THICKNESS AK DURING PROCEDURE ID # (B)(6). THIS PROCEDURE WAS PERFORMED ON (B)(6) 2025.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
287987 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