FDA Adverse Event
Malfunction
Summary report: N
INFINITI VISION SYSTEM OZIL
MDR report key: 1992858
·
Received February 4, 2011
Report
- Report Number
- 2028159-2011-00089
- Event Type
- Malfunction
- Date Received
- February 4, 2011
- Report Date
- January 7, 2011
- 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
- NY, US
- Reporter Occupation
- UNKNOWN
Narratives
Additional Manufacturer Narrative · 1
THE COMPANY REP EXAMINED THE SYSTEM AND ADJUSTED THE IRRIGATION PRESSURE DROP TO 60%. THE SYSTEM WAS THEN TESTED AND MET ALL PRODUCT SPECIFICATIONS. (B)(4).
Description of Event or Problem · 1
A CUSTOMER REPORTED HAVING AN ISSUE WITH THE VITRECTOMY CUTTER DURING A PROCEDURE. A SYSTEM MESSAGE WAS ALSO REPORTED TO HAVE BEEN DISPLAYED. PT HARM IS UNK. THERE WAS A REPORTED DELAY OF UNK LENGTH. ADDITIONAL INFO WAS 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 |