inforMED
InjuryOOE

ALLY ADAPTIVE CATARACT TREATMENT SYSTEM

Received May 7, 2026 · Event occurred Apr 14, 2026

Report 3009026057-2026-00019 · MDR key 25116263

Device

Generic name

Ally Adaptive Cataract Treatment System

Manufacturer

Lensar, Inc.

Model number

N/A

Catalog number

70-00050-001

Lot number

N/A

Product problems

  • Device Handling Problem

Patient

NA · Unknown

  • Corneal Perforation

Narrative

Additional Manufacturer Narrative

REVIEW OF PROCEDURE ID# (B)(6) VIDEO SHOWS SIGNIFICANT PATIENT MOVEMENT THROUGHOUT THE PROCEDURE AND DURING ARCUATE INCISIONS. PATIENT DOESN'T APPEAR TO BE LOCKED AND THE EYE IS DECENTERED SIGNIFICANTLY. PATIENT MOVEMENT AND DECENTRATION MAY HAVE LED TO POSTERIOR CORNEA BEING COMPROMISED DURING THE ARCUATE PORTION OF THE PROCEDURE. RECOMMEND DISCUSSING PROPER CENTRATION AND LOCKING DURING THE PROCEDURE. THE FULL THICKNESS IS SEALED AND PATIENT IS DOING WELL POST OP. NO FURTHER CLINICAL FOLLOW UP IS REQUIRED.

Description of Event or Problem

ON (B)(6) 2026, DOCTOR (B)(6) REPORTED TO CAS THAT WHILE ATTEMPTING TO INSERT THE INTRAOCULAR LENS ON PROCEDURE ID # (B)(6), HE NOTED THAT VISCOELASTIC BEGAN TO COME OUT OF THE TEMPORAL AK CAUSING A FULL THICKNESS AK.