BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    CONSTELLATION LXT

    MDR report key: 2034392 · Received March 15, 2011

    Report

    Report Number
    2034392
    Event Type
    Malfunction
    Date Received
    March 15, 2011
    Date of Event
    March 3, 2011
    Report Date
    March 15, 2011
    Manufacturer
    ALCON
    Product Code
    HQC
    Product Problem
    Yes
    Report Source
    User Facility report
    Reporter Location
    CA, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    SYSTEM SHUT DOWN ON ITS OWN. LOST POWER BRIEFLY DURING USE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 CONSTELLATION LXT MICROSURGERY DEVICE HQC ALCON * *

    Patients

    Seq Age Sex Outcome Treatment
    1 56 YR NO OTHER THERAPIES