BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    CONSTELLATION LXT

    MDR report key: 2048250 · Received April 5, 2011

    Report

    Report Number
    MW5020178
    Event Type
    Malfunction
    Date Received
    April 5, 2011
    Date of Event
    April 1, 2011
    Report Date
    April 5, 2011
    Manufacturer
    ALCON LABORATORIES
    Product Code
    HQC
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    AL, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    CONSTELLATION LXT S/N (B)(4) STOPPED VACUUMING DURING CASE. NEW HAND PIECE CONNECTED, EQUIPMENT DID NOT WORK. ALL TUBING AND CARTRIDGE CHANGED AND STILL DID NOT WORK. MACHINE TAKEN OUT OF SERVICE AND TAGGED. SUPERVISOR NOTIFIED. NEW MACHINE CONNECTED AND WORKED PROPERLY. NO INJURY NOTED TO PT.

    Devices

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

    Patients

    Seq Age Sex Outcome Treatment
    1