FDA Adverse Event
Malfunction
Summary report: N
CONSTELLATION VISION SYSTEMS
MDR report key: 20000226
·
Received August 16, 2024
Report
- Report Number
- MW5158562
- Event Type
- Malfunction
- Date Received
- August 16, 2024
- Date of Event
- August 12, 2024
- Report Date
- August 14, 2024
- Manufacturer
- ALCON RESEARCH, LLC.
- Product Code
- MLZ
- Product Problem
- Yes
- Report Source
- Voluntary report
- Reporter Location
- NJ, US
- Reporter Occupation
- RISK MANAGER
- Health Professional
- Yes
Narratives
Description of Event or Problem · 0
RN AND PHYSICIAN WERE PRIMING AND SETTING PRESSURES FOR A VITRECTOMY CASE. THE VITRECTOMY PACK CASSETTE USED WITH THE CONSTELLATION VISION SYSTEM MACHINE COULD NOT MAINTAIN THE NEEDED PRESSURES. THE PHYSICIAN FELT THAT IT WAS AN ISSUE WITH THE VITRECTOMY PACK. THE PACK WAS SWITCHED OUT FOR A NEW ONE AND NO OTHER PROBLEMS WERE NOTED.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 2395909 | CONSTELLATION VISION SYSTEMS | VITRECTOMY, INSTRUMENT CUTTER | MLZ | ALCON RESEARCH, LLC. | 8065752437 | 16RH1T |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | Male |