FDA Adverse Event Injury Summary report: N

INFINITI VISION SYSTEM OZIL

MDR report key: 2070134 · Received April 22, 2011

Report

Report Number
2028159-2011-00440
Event Type
Injury
Date Received
April 22, 2011
Date of Event
March 24, 2011
Report Date
March 24, 2011
Manufacturer
ALCON - IRVINE TECHNOLOGY CENTER
Product Code
HQC
PMA / PMN Number
K082845
Removal / Correction Number
NA
Adverse Event
Yes
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
TX, US
Reporter Occupation
BIOMEDICAL ENGINEER

Narratives

Additional Manufacturer Narrative · 1

THE COMPANY REP EXAMINED THE SYSTEM AND COULD NOT DUPLICATE THE PROBLEM REPORTED. ALL VACUUM AND FLOW RATES WERE VERIFIED TO MEET SPECIFICATION. THE SYSTEM WAS THEN TESTED AND MET ALL PRODUCT SPECIFICATIONS. A REVIEW OF COMPLAINTS FOR THE LAST 24 MONTHS DID NOT INDICATE ANY ADDITIONAL SIMILAR REPORTS FOR THIS SYSTEM. THE ROOT CAUSE OF THE PT EVENT CANNOT BE DETERMINED IN THIS INVESTIGATION. POSTERIOR CAPSULE TEAR IS AN ISSUE THAT IS OCCASIONALLY REPORTED WITH CATARACT SURGERY. (B)(4).

Description of Event or Problem · 1

A BIOMEDICAL ENGINEER REPORTED THAT A SURGEON WAS EXPERIENCING SURGING WHILE IN QUAD MODE DURING CATARACT SURGERY. THE SURGEON HAS ALSO EXPERIENCED POSTERIOR CAPSULE TEARS. THE SYSTEM WAS TAKEN OUT OF CIRCULATION. SEVERAL ATTEMPTS HAVE BEEN MADE TO GATHER ADDITIONAL INFO, BUT NO FURTHER INFO HAS BEEN PROVIDED.

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 Required Intervention