FDA Adverse Event
Malfunction
Summary report: N
ALCON CENTURION VISION SYSTEM
MDR report key: 11364773
·
Received February 22, 2021
Report
- Report Number
- MW5099531
- Event Type
- Malfunction
- Date Received
- February 22, 2021
- Date of Event
- February 17, 2021
- Report Date
- February 18, 2021
- Manufacturer
- ALCON / ALCON RESEARCH, LLC
- Product Code
- HQC
- Product Problem
- Yes
- Report Source
- Voluntary report
- Reporter Location
- AL, US
- Reporter Occupation
- OTHER HEALTH CARE PROFESSIONAL
Narratives
Description of Event or Problem · 1
ALCON CENTURION VISION SYSTEM FAILED TO PROVIDE ASPIRATION AND IRRIGATION FOR THE SURGEON DURING A PHACO PROCEDURE. RESULTING IN THE SURGEON HAVING TO COMPLETE THE PROCEDURE USING MANUAL IRRIGATION. FDA SAFETY REPORT ID# (B)(4).
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 260553 | ALCON CENTURION VISION SYSTEM | UNIT, PHACOFRAGMENTATION | HQC | ALCON / ALCON RESEARCH, LLC | CENTURION |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 69 YR |