FDA Adverse Event Malfunction Summary report: N

INFINITI VISION SYSTEM OZIL

MDR report key: 1910071 · Received November 10, 2010

Report

Report Number
2028159-2010-02162
Event Type
Malfunction
Date Received
November 10, 2010
Date of Event
October 11, 2010
Report Date
October 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
PA, US
Reporter Occupation
NURSE

Narratives

Additional Manufacturer Narrative · 1

THE COMPANY SERVICE REP EXAMINED THE SYSTEM AND TESTED ALL THE HANDPIECES. NO PROBLEMS WERE FOUND. THE COMPANY SERVICE REP ATTEMPTED TO DUPLICATE THE INTERMITTENT TOUCHSCREEN AND FOOTSWITCH ISSUE. THE PROBLEM COULD NOT BE DUPLICATED. THE TOUCHSCREEN AND FOOTSWITCH CABLE WERE REPLACED AS A DIAGNOSTIC MEASURE. THE SYSTEM WAS THEN TESTED AND MET ALL PRODUCT SPECIFICATIONS. THE TOUCHSCREEN AND FOOTSWITCH CABLE HAVE 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 IN ACCORDANCE WITH 21 CFR 803.56 WHEN ADDITIONAL REPORTABLE INFO BECOMES AVAILABLE. (B)(4).

Description of Event or Problem · 1

THE CUSTOMER INITIALLY REPORTED NO PHACO POWER. THE CUSTOMER THEN REPORTED THE TOUCHSCREEN AND FOOTSWITCH INTERMITTENTLY DO NOT RESPOND. THE INTERMITTENT ISSUE OCCURS FIRST THING IN THE MORNING. ADDITIONAL INFO FROM THE NURSE STATED THE ISSUE WAS A FOOTSWITCH AND TOUCHSCREEN PROBLEM. THE CUSTOMER REPORTED A TEN MINUTE DELAY WHILE TROUBLESHOOTING THE ISSUE. THE CASES WERE COMPLETED WITH THE SYSTEM. NO CONSUMABLES WERE SAVED FOR EVAL. 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