FDA Adverse Event Malfunction Summary report: N

INFINITI VISION SYSTEM OZIL

MDR report key: 2043338 · Received February 25, 2011

Report

Report Number
2028159-2011-00184
Event Type
Malfunction
Date Received
February 25, 2011
Date of Event
January 26, 2011
Report Date
January 26, 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
MT, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

A COMPANY REPRESENTATIVE EXAMINED THE SYSTEM AND WAS UNABLE TO REPLICATE THE REPORTED ISSUE. THE ULTRASOUND CONTROLLER PRINTED CIRCUIT BOARD (PCB) WAS REPLACED FOR DIAGNOSTIC PURPOSES. THE SYSTEM WAS THEN TESTED AND MET ALL PRODUCT SPECIFICATIONS. A ROOT CAUSE HAS NOT BEEN IDENTIFIED. INVESTIGATION, INCLUDING ROOT CAUSE ANALYSIS, IS IN PROGRESS. A SUPPLEMENTAL MDR WILL BE FILED AS NECESSARY IN ACCORDANCE WITH 21 CFR 803.56 WHEN ADDITIONAL REPORTABLE INFORMATION BECOMES AVAILABLE. (B)(4).

Description of Event or Problem · 1

A SURGERY CENTER ADMINISTRATOR REPORTED THAT IN PREPARATION FOR CATARACT SURGERY THE SYSTEM PRIMED AND TESTED NORMALLY, AND THE INDICATOR LIGHT ON THE CONSOLE GAVE THE PROPER CONFIRMATION LIGHT, BUT THE HANDPIECE DID NOT SOUND RIGHT. DURING THE SURGERY, THE SURGEON NOTED THAT THERE WAS NOT MUCH TORSIONAL POWER. THE TIPS, HANDPIECES, AND CASSETTES WERE EXCHANGED, BUT THE TORSIONAL POWER REMAINED LOW. THE CATARACT WAS SOFT, SO THE SURGEON WAS ABLE TO COMPLETE THE PROCEDURE. NO HARM OR INJURY TO THE PATIENT WAS REPORTED.

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 UNK