FDA Adverse Event Malfunction Summary report: N

INFINITI VISION SYSTEM OZIL

MDR report key: 1940065 · Received December 22, 2010

Report

Report Number
2028159-2010-02433
Event Type
Malfunction
Date Received
December 22, 2010
Report Date
November 23, 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
CT, US
Reporter Occupation
NURSE

Narratives

Additional Manufacturer Narrative · 1

A COMPANY SERVICE REP EXAMINED THE SYSTEM AND WAS UNABLE TO DUPLICATE THE PROBLEM REPORTED. PREVENTIVE MAINTENANCE WAS PERFORMED, THE SYSTEM WAS TESTED AND MET ALL PRODUCT SPECS. THE ROOT CAUSE OF THE PT EVENT CANNOT BE DETERMINED IN THIS INVESTIGATION. POSTERIOR CAPSULE TEAR IS AN ISSUE THAT IS OCCASIONALLY REPORTED WITH CATARACT SURGERY. HOWEVER, A REVIEW OF THE COMPLAINT TRENDS SHOWS THAT THE FREQUENCY REPORTED IS WITHIN KNOWN LEVELS FOR THIS EVENT. (B)(4).

Description of Event or Problem · 1

A CUSTOMER REPORTED WHILE PERFORMING AN ANTERIOR VITRECTOMY, THERE WAS VERY LOW TO NO ASPIRATION. THE SYSTEM WAS REPRIMED, BUT THE PROBLEM PERSISTED. THE FOOTSWITCH WAS SWITCHED OUT AND THE PROBE WAS FLUSHED, BUT STILL DID NOT FIX THE PROBLEM. THE SYSTEM AND THE PROBE WERE THEN SWITCHED OUT; HOWEVER, THE SAME RESULT OCCURRED. THE CASE WAS EVENTUALLY COMPLETED WITH THE SECOND SYSTEM. THE CASE WAS DELAYED 20-30 MINUTES WHILE TROUBLESHOOTING WAS PERFORMED AND SYSTEM WAS SWITCHED OUT. ADD'L INFO HAS BEEN REQUESTED.

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