FDA Adverse Event Malfunction Summary report: N

INFINITI VISION SYSTEM

MDR report key: 1062046 · Received June 13, 2008

Report

Report Number
2028159-2008-00222
Event Type
Malfunction
Date Received
June 13, 2008
Date of Event
May 14, 2008
Report Date
May 14, 2008
Manufacturer
ALCON - IRVINE TECHNOLOGY CENTER
Product Code
HQC
PMA / PMN Number
K021566
Removal / Correction Number
NA
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
FL, US
Reporter Occupation
NURSE

Narratives

Additional Manufacturer Narrative · 1

A REVIEW OF COMPLAINT, SERVICE, AND MANUFACTURING HISTORY DATA FOR THE SYSTEM INDICATES THAT THERE HAS BEEN NO ADDITIONAL COMPLAINTS OR SERVICE REQUESTS RELATED TO THE REPORTED EVENT. COMPLAINT TRENDING INDICATES NO RECENT ADVERSE TRENDS. NO SAMPLE WAS RETURNED, AND THE CUSTOMER DID NOT REQUEST A SYSTEM EVAL. THE ROOT CAUSE OF THE VENT CANNOT BE DETERMINED BECAUSE INSUFFICIENT INFO WAS PROVIDED BY THE CUSTOMER. CORNEAL BURN IS AN ISSUE THAT IS OCCASIONALLY REPORTED WITH CATARACT SURGERY. ACCORDING TO THE ECRI HEALTH DEVICES, HAZARD UPDATE: SCLERAL AND CORNEAL BURNS DURING PHACOEMULSIFICATION. NOVEMBER 1996, VOL. 25, NO. 11: 426-431, MOST CORNEAL BURNS CAN BE TRACED TO ISSUES RELATED TO SURGICAL TECHNIQUE AND NOT TO MALFUNCTIONING EQUIPMENT. A LETTER AND COPY OF THIS INDUSTRY ARTICLE WAS PROVIDED TO THE CUSTOMER.

Description of Event or Problem · 1

THE COMPANY SALES REPRESENTATIVE WAS PRESENT AT THIS SURGERY AND STATED THAT THE OCCLUSION BELL WENT OFF, BUT THE SURGEON WAS UNABLE TO AVOID BURNING THE CORNEA. PATIENT STATUS IS UNKNOWN. ADDITIONAL INFO HAS BEEN REQUESTED, BUT NO RESPONSE HAS BEEN REC'D TO DATE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 INFINITI VISION SYSTEM OPHTHALMIC SURGERY SYSTEM HQC ALCON - IRVINE TECHNOLOGY CENTER INFINITI NA

Patients

Seq Age Sex Outcome Treatment
1 NI