FDA Adverse Event Malfunction Summary report: N

INFINITI VISION SYSTEM OZIL

MDR report key: 2020539 · Received February 10, 2011

Report

Report Number
2028159-2011-00100
Event Type
Malfunction
Date Received
February 10, 2011
Date of Event
January 10, 2011
Report Date
January 10, 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
FR
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

THE COMPANY REP EXAMINED THE FOOTSWITCH AND REPLACED THE FOOTSWITCH INTERFACE PRINTED CIRCUIT BOARD (PCB) AND FOOTSWITCH CABLE. THE SYS WAS THEN TESTED AND MET ALL PRODUCT SPECIFICATIONS. A ROOT CAUSE HAS NOT BEEN IDENTIFIED. (B)(4).

Description of Event or Problem · 1

A NURSE MANAGER REPORTED THAT THE FOOTSWITCH WOULD NOT WORK DURING THE SET UP OF THE SYS. AN ERROR CODE WAS DISPLAYED AND THE SYS WAS LOCKED. THE SURGEON HAD ALREADY STARTED THE PROCEDURE AND WAS DOING THE CAPSULORHEXIS WHEN THE EVENT OCCURRED. ANOTHER SECOND FOOTSWITCH WAS CONNECTED BUT THE SYS WAS STILL LOCKED. THE FOOTSWITCH WAS TRIED ON A SECOND SYS AND AN ERROR CODE APPEARED. THE SURGERY WAS COMPLETED THREE HOURS LATER AFTER THE SYS WAS REPAIRED BY A TECHNICIAN. THE PT WAS GIVEN A PROPHYLACTIC ANTIBIOTIC TREATMENT. NO PT INJURY WAS REPORTED. THE FOLLOWING FIVE PROCEDURES OF THE DAY WERE CANCELED. 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