FDA Adverse Event Malfunction Summary report: N

INFINITI VISION SYSTEM OZIL

MDR report key: 1832072 · Received September 3, 2010

Report

Report Number
2028159-2010-01653
Event Type
Malfunction
Date Received
September 3, 2010
Report Date
August 6, 2010
Manufacturer
ALCON - IRVINE TECHNOLOGY CENTER
Product Code
HQC
PMA / PMN Number
K082845
Removal / Correction Number
NA
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
TX, US
Reporter Occupation
BIOMEDICAL ENGINEER

Narratives

Additional Manufacturer Narrative · 1

THE COMPANY SERVICE REPRESENTATIVE EXAMINED THE SYSTEM AND CONFIRMED THE PROBLEM REPORTED. THE TOUCHSCREEN WAS REPLACED AND RECALIBRATED. THE SYSTEM WAS THEN TESTED AND MET ALL PRODUCTION SPECIFICATIONS. THE TOUCHSCREEN HAS BEEN RECEIVED AND IN-HOUSE TESTING IS IN PROGRESS. INVESTIGATION INCLUDING ROOT CAUSE ANALYSIS IS IN PROGRESS. A SUPPLEMENTAL MDR WILL BE FILED AS NECESSARY WHEN ADDITIONAL REPORTABLE INFORMATION BECOMES AVAILABLE. (B)(4).

Description of Event or Problem · 1

ADVERSE EVENT(S):" NO PT INJURY REPORTED" (NO CONSEQUENCE OR IMPACT TO PT). PRODUCT PROBLEM(S): "TOUCHSCREEN FROZE" (NO DISPLAY OR DISPLAY FAILURE). THE CUSTOMER REPORTED THE TOUCHSCREEN FROZE UP DURING SURGERY. THE SYSTEM WAS SWITCHED OUT TO COMPLETE THE CASE AS PLANNED. NO PT INJURY WAS REPORTED.

Devices

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

Patients

Seq Age Sex Outcome Treatment
1 UNK