510(k) Report

510(k) · Cleared

Recalled · Class II · 2016

Monarch Iii Iol Delivery System, Monarch Iii C Cartridge, Monarch Iii Handpiece (H4)

K112977510(k) AbbreviatedCleared Mar 27, 2012173-day reviewClass I21 CFR 886.4300Recalls 1

Data to Oct 25, 2026 (FDA decisions) Oct 12, 2026 (recalls) Sep 30, 2026 (MAUDE) refreshed weekly, last Nov 3, 2026

Alcon Research, Ltd. · MSS Folders And Injectors, Intraocular Lens (Iol)

Cleared on Mar 27, 2012 as substantially equivalent to K001157 (Alcon Research, Ltd., 2000) and 2 other predicates after a 173-day review. Its family tree reaches back 2 generations to 2000. 2 later devices descend from it. It has been recalled once.

Decided
Mar 27, 2012
Review
173 days
Class
Class I
Product code
MSS
Recalls
1
Predicates
3

Its longest line of descent runs back 2 generations to K001157 (2000). 3 ancestors in all. 2 later devices descend from it, 2 citing it directly.

Other ancestors, by year clearedDescendants, by year cleared 2001: 1 other ancestor2013: 1 descendant cleared2021: 1 descendant clearedK001157 · Monarch II Iol Delivery System · Alcon Research, Ltd. · 2000 · recalledK063155 · Monarch Iii Iol Delivery System · Alcon Manufacturing, Ltd. · 2007 · recalled200020052010201520202025
Other ancestors, by generationDescendants, by generation 1 generation back: 1 other ancestor 1 generation forward: 2 descendants K063155 · Monarch Iii Iol Delivery System · Alcon Manufacturing, Ltd. · 2007 · recalledK001157 · Monarch II Iol Delivery System · Alcon Research, Ltd. · 2000 · recalled0
  1. Root · 2 generations backK001157 Monarch II Iol Delivery SystemAlcon Research, Ltd. · 2000 · Recalled
  2. 1 generation backK063155 Monarch Iii Iol Delivery SystemAlcon Manufacturing, Ltd. · 2007 · Recalled
  3. This deviceK112977 Monarch Iii Iol Delivery System, Monarch Iii C Cartridge, Monarch…Alcon Research, Ltd. · 2012
  4. Descendant · cites it directly · 0 of its ownK212039 CLAREON MONARCH IV IOL Delivery SystemAlcon Laboratories, Inc. · 2021
  5. Descendant · cites it directly · 0 of its ownK123888 Z Cartridge Iol Delivery SystemAaren Scientific, Inc. · 2013 · Recalled

Most influential descendants

Showing 2 of 2 · See all
  • K212039CLAREON MONARCH IV IOL Delivery SystemAlcon Laboratories, Inc. · 2021 · cites it directly0descendants
  • K123888Z Cartridge Iol Delivery SystemAaren Scientific, Inc. · 2013 · cites it directly0descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−2K001157Monarch II Iol Delivery SystemAlcon Research, Ltd.20001
−1K063155Monarch Iii Iol Delivery SystemAlcon Manufacturing, Ltd.20071
0 (this device)K112977Monarch Iii Iol Delivery System, Monarch Iii C Cartridge, Monarch Iii…Alcon Research, Ltd.2012—
+1K212039CLAREON MONARCH IV IOL Delivery SystemAlcon Laboratories, Inc.2021—
+1K123888Z Cartridge Iol Delivery SystemAaren Scientific, Inc.20131

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
200110

Descendants by year cleared

Year clearedDevicesWith a Class I recall
201310
202110
FIG. 1 — Lineage of K112977, 2000–2021Source: FDA 510(k) summaries, read by 510(k) Report · How lineage is built

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Notable FDA decisions, review times and new Class I recalls. See an issue.

Sources: FDA 510(k) database (decision fields), the FDA summary (predicates and indications), FDA recall and enforcement reports, and MAUDE; processed by 510(k) Report. Verify on FDA.gov · Methodology and accuracy.

Planning a device in MSS? A 510(k) Report weighs predicate choices, recall history and review times for a new device like this one.

Top candidate predicates for a new MSS device

  1. #1 K261174 RxSight® Insertion Devicescore 15.1 · 13 generations · no Class I recall
  2. #2 Held for the reportin the report
  3. #3 Held for the reportin the report
Get a 510(k) Report

What was it cleared against? (3)

Devices the submitter claimed this one is substantially equivalent to (*), and reference devices cited for a specific test or feature (†), as written in the FDA summary.

TypeNumberDeviceApplicantDecidedRecalls
*K001157Monarch II Iol Delivery SystemAlcon Research, Ltd.20001
*K003768Monarch II Iol Delivery System
Summary page 2
…_ _ _ _ _ _ _ _ _ _ _ _ _ ______ ______ ______Cartridge) 510(k) Number K112977 K003768 K063155 Substantial Equivalenc Characteristics Intended U…
Alcon Research, Ltd.2001—
*K063155Monarch Iii Iol Delivery System
Summary page 1
…evice(s) to which we are claiming substantial equivalence are: 510(k) Number Device KOOl 157 Monarch® 11 (C Cartridge) TOL Delivery System K063 155 Monarch mI (D Cartridge) JOL Delivery System 2. Device Description: The Monarch® III IOL Delivery System (C Ca…
Alcon Manufacturing, Ltd.20071

Also cleared against K001157: 2 other devices →

What descends from it? (2)

2 later devices cite it directly; ranked here by how many devices descend from each in turn.

NumberDeviceApplicantDecidedDescendants
K212039CLAREON MONARCH IV IOL Delivery SystemAlcon Laboratories, Inc.20210
K123888Z Cartridge Iol Delivery SystemAaren Scientific, Inc.20130

Has anything in its family been recalled? (0 Class I)

Recalls of this device

DateClassRecallRoot causeReason
Sep 5, 2016Class IIZ-0978-2017Device DesignThe intraocular lens could become lodged within the cartridge

No ancestor or descendant has a Class I recall.

What does this lineage say?

  • The line of descent spans 12 years and passes through 2 companies; a new generation was cleared every 6.7 years on median.
  • 2 of the 3 ancestors have a recall of any class.
  • Of its descendants, K212039 (Alcon Laboratories, Inc., 2021) has gone furthest, with 0 descendants of its own.
  • 2 other devices also cite its predicate K001157.

How does its category compare?

All MSS devices

MSS Folders And Injectors, Intraocular Lens (Iol): FDA decisions, review times, recalls and adverse event reports over 20 years. 2012, this device’s year, is highlighted.

FDA decisions per year · MSS

1in 2025

2007: 22008: 52009: 52010: 22011: 22012: 22013: 52014: 52015: 32016: 22017: 32018: 12019: 32020: 22021: 12023: 32024: 12025: 12026 (partial year): 1
2007high 5 (2008) · low 0 (2022)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · MSS

54in 2023

2008: 84 days median2009: 197 days median2013: 141 days median2014: 78 days median2015: 156 days median2017: 30 days median2019: 67 days median2023: 54 days median
2007high 197 (2009) · low 30 (2017)2026

Receipt to decision; years with fewer than 3 clearances left blank.

Recalls per year · MSS

1in 2017

2016: 12017: 1
2007high 1 (2016) · low 0 (2007)2026

Class I (0 since 2007) Class II/III not classified

Adverse event reports per year · MSS

429in 2025

2007: 4452008: 1852009: 1862010: 2032011: 952012: 1292013: 2032014: 1142015: 1272016: 1122017: 1142018: 3402019: 2712020: 3622021: 2892022: 4902023: 3302024: 3752025: 429
2007high 490 (2022) · low 95 (2011)2025

MAUDE reports naming product code MSS, not matched to any one device; reports are not rates.

View these four charts as a table
YearDecisionsMedian 510(k) review, daysRecalls (Class I)MAUDE reports
20072—0445
20085840185
200951970186
20102—0203
20112—095
20122—0129
201351410203
20145780114
201531560127
20162—1112
20173301114
20181—0340
20193670271
20202—0362
20211—0289
20220—0490
20233540330
20241—0375
20251—0429
20261—0—

What is it indicated for?

This Monarch® III C Cartridge IOL insertion device is indicated to fold/hold and insert Alcon IOLs that have the use of this inserter in their approved labeling.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K112977: Monarch Iii Iol Delivery System, Monarch Iii C Cartridge, Monarch Iii Handpiece (H4).” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 5, 2026. https://510kreport.com/device/K112977

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Record history
  • FDA decision record loaded May 2, 2026
  • Summary read Oct 13, 2026 (extraction version 9eaa42aa01ed)
  • Lineage and recalls computed Nov 3, 2026
  • Page last updated Nov 3, 2026