FDA Adverse Event Malfunction Summary report: N

POWERED LASER SURGICAL INSTRUMENT

MDR report key: 15198135 · Received August 10, 2022

Report

Report Number
15198135
Event Type
Malfunction
Date Received
August 10, 2022
Date of Event
June 27, 2022
Report Date
July 15, 2022
Manufacturer
ELLEX MEDICAL PTY. LTD.
Product Code
GEX
Product Problem
Yes
Report Source
User Facility report
Reporter Location
AZ
Reporter Occupation
RISK MANAGER
Health Professional
N

Narratives

Description of Event or Problem · 0

ONCE PATIENT WAS POSITIONED FOR A YAG LASER CAPSULOTOMY PROCEDURE, IT WAS DISCOVERED THAT THE LASER GUIDANCE RED LIGHT WAS NOT WORKING. WITHOUT A RED DOT, THE PHYSICIAN DOES NOT KNOW WHERE THE LASER BEAM IS GOING. PHYSICIAN CANCELLED THE CASE AND WILL RESCHEDULE. NO PATIENT HARM.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
457839 POWERED LASER SURGICAL INSTRUMENT GEX ELLEX MEDICAL PTY. LTD.

Patients

Seq Age Sex Outcome Treatment
1 22995 DA Unknown