inforMED
MalfunctionOOE

LENSX LASER SYSTEM

Received Mar 6, 2026 · Event occurred Feb 6, 2026

Report 2028159-2026-00284 · MDR key 24530582

Device

Generic name

Ophthalmic Femtosecond Laser

Manufacturer

Alcon Lensx, Inc.

Model number

550

Catalog number

8065998162

Lot number

NA

Product problems

  • Failure to Cut

Patient

NA · Unknown

  • Insufficient Information

Narrative

Additional Manufacturer Narrative

CORRECTED INFORMATION PROVIDED IN G.1. PRODUCT MANUFACTURER DETAILS HAVE BEEN UPDATED. THE MANUFACTURER INTERNAL REFERENCE NUMBER IS: (B)(4).

Additional Manufacturer Narrative

ADDITIONAL INFORMATION PROVIDED IN D.9., H.3., H.6., AND H.11. A MANUFACTURING DEVICE HISTORY RECORD (DHR) 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. THE COMPANY REPRESENTATIVE WAS ABLE TO REPLICATE THE REPORTED ISSUE. THE NON-CONFORMING CRYSTAL ASSEMBLY AND MIRROR WERE REPLACED TO ADDRESS THE ISSUE. THE SYSTEM WAS TESTED AND FOUND TO MEET PRODUCT SPECIFICATIONS. THE ROOT CAUSE OF THE REPORTED EVENT IS ATTRIBUTED TO NONCONFORMING CRYSTAL ASSEMBLY AND MIRROR. THE MANUFACTURER INTERNAL REFERENCE NUMBER IS: (B)(4).

Additional Manufacturer Narrative

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 ( (B)(4).) IS NO LONGER OPERATIONAL. LENSX MANUFACTURED PRODUCTS ARE MAINTAINED AND INVESTIGATED BY THE ALCON RESEARCH, LTD. IRVINE TECHNOLOGY CENTER SITE (B)(4).. THE MANUFACTURER INTERNAL REFERENCE NUMBER IS: (B)(4).

Description of Event or Problem

A NON-HEALTHCARE PROFESSIONAL REPORTED THAT THE ENERGY CALIBRATION WAS NOT REMAINING STABLE AND UNABLE TO PERFORM THE FLAP RESULTED THE CUT WAS INCOMPLETE IN THE UNKNOWN EYE OF A PATIENT, DURING REFRACTIVE SURGERY. THE PROCEDURE WAS NOT COMPLETED. THE SYSTEM DID NOT COMPLETE THE RHEXIS. THE SURGEON COMPLETED THE RHEXIS MANUALLY IN THE OPERATING ROOM.