FDA Adverse Event Malfunction Summary report: N

IOLMASTER 700

MDR report key: 11041495 · Received December 18, 2020

Report

Report Number
9615030-2020-00021
Event Type
Malfunction
Date Received
December 18, 2020
Date of Event
October 25, 2020
Report Date
November 26, 2020
Manufacturer
CARL ZEISS MEDITEC AG (JENA)
Product Code
HJO
PMA / PMN Number
K173771
Removal / Correction Number
9615030-12-16-2020-002-C
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
EI
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL

Narratives

Additional Manufacturer Narrative · 0

H6: HEALTH EFFECT CLINICAL CODE CORRECTED TO 4582; HEALTH EFFECT IMPACT CODE CORRECTED TO 2199; INVESTIGATION FINDINGS CORRECTED TO 104; INVESTIGATION CONCLUSIONS CORRECTED TO 4301.

Description of Event or Problem · 1

A HEALTH CARE PROFESSIONAL (HCP) REPORTED THAT THE IOLMASTER 700 IS ERRONEOUSLY SELECTING ANOTHER PATIENT ON MODALITY WORKLIST (MWL) RATHER THAN THE HIGHLIGHTED PATIENT. THERE IS NO INFORMATION ABOUT ANY NEGATIVE IMPACT TO THE PATIENT, USER, OR THIRD PARTY DUE TO THE REPORTED CASE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1506873 IOLMASTER 700 BIOMICROSCOPE, SLIT-LAMP, AC-POWERED HJO CARL ZEISS MEDITEC AG (JENA) 700

Patients

Seq Age Sex Outcome Treatment
1