FDA Adverse Event Malfunction Summary report: N

INFINITI VISION SYSTEM OZIL

MDR report key: 1834398 · Received September 10, 2010

Report

Report Number
2028159-2010-01727
Event Type
Malfunction
Date Received
September 10, 2010
Date of Event
August 11, 2010
Report Date
August 11, 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
MN, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

A COMPANY SERVICE REPRESENTATIVE EXAMINED THE SYSTEM AND WAS UNABLE TO DUPLICATE THE REPORTED PROBLEM. NO ADVISORIES RELATING TO ASPIRATION, VACUUM, OR FLOW WERE FOUND IN THE ERROR LOG. THE REPRESENTATIVE PERFORMED A FLUIDICS DRY TEST, ASPIRATION FLOW TEST, AND OCCLUSION TEST. PREVENTIVE MAINTENANCE WAS PERFORMED. THE SYSTEM WAS TESTED AND MET ALL PRODUCT SPECIFICATIONS. (B)(4).

Description of Event or Problem · 1

ADVERSE EVENT(S): "NO PT INJURY REPORTED" (NO CONSEQUENCES OR IMPACT TO PT). PRODUCT PROBLEM(S): "DECREASED ASPIRATION DURING I/A" (ASPIRATION ISSUE). A BIOMEDICAL ENGINEER REPORTED PROBLEMS WITH ASPIRATION DURING IRRIGATION/ASPIRATION (I/A). ADDITIONAL INFO WAS REQUESTED. ADDITIONAL INFO WAS RECEIVED: THE NURSE MANAGER REPORTED THE ASPIRATION WAS NOT AS STRONG AS USUAL. THE SURGEON WAS OFFERED ANOTHER HANDPIECE, BUT HE STATED IT WAS NOT NECESSARY AS HE WOULD BE ABLE TO FINISH THE CASE. THE CASE WAS COMPLETED, BUT THE FOLLOWING TWO CASES WERE CANCELED AS A PRECAUTION. THERE WAS NO PT INJURY 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