FDA Adverse Event Malfunction Summary report: N

INFINITI VISION SYSTEM OZIL

MDR report key: 2081353 · Received April 22, 2011

Report

Report Number
2028159-2011-00421
Event Type
Malfunction
Date Received
April 22, 2011
Date of Event
March 23, 2011
Report Date
March 23, 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
OH, US
Reporter Occupation
UNKNOWN

Narratives

Additional Manufacturer Narrative · 1

THE COMPANY REP EXAMINED AND TESTED THE SYSTEM AND NOTICED THE DIGITAL VIDEO INTERFACE (DVI) RECEIVER PCB HAD A DAMAGED COMPONENT. THE COMPANY REP REPLACED THE DVI RECEIVER PCB, THE 12V POWER SUPPLY, THE HOST CPU, AND THE DISPLAY SUB-ARM. PREVENTIVE MAINTENANCE WAS PERFORMED AND SOFTWARE UPDATE WAS COMPLETED. THE SYSTEM WAS THEN TESTED AND MET ALL PRODUCT SPECIFICATIONS. ADDITIONAL INFO REGARDING PRODUCT EVAL IS PENDING. INVESTIGATION INCLUDING ROOT CAUSE ANALYSIS IS IN PROGRESS. A SUPPLEMENTAL MDR WILL BE FILED WHEN ADDITIONAL REPORTABLE INFO BECOMES AVAILABLE. (B)(4).

Description of Event or Problem · 1

A CUSTOMER REPORTED TOUCH SCREEN RESPONSE PROBLEMS AND AN ELECTRICAL SMELL FROM THE UNIT WAS NOTICED. ADDITIONAL INFO WAS REQUESTED. ADDITIONAL INFO WAS RECEIVED FROM A NURSE REPORTING THE SURGEON HAD REMOVED THE CATARACT, FINISHED IRRIGATION/ASPIRATION, AND WHEN HE SWITCHED TO THE "VISCO" SETTING TO REMOVE THE VISCOELASTIC, THE TOUCH SCREEN STOPPED RESPONDING. AT THAT TIME, AN ELECTRICAL SMELL COMING FROM THE SYSTEM WAS NOTICED. THE SYSTEM WAS EXCHANGED AND THE SURGERY WAS COMPLETED. THERE WAS NO PT HARM 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