FDA Adverse Event Injury Summary report: N

INFINITI VISION SYSTEM OZIL

MDR report key: 2161829 · Received July 8, 2011

Report

Report Number
2028159-2011-00794
Event Type
Injury
Date Received
July 8, 2011
Date of Event
May 4, 2011
Report Date
June 9, 2011
Manufacturer
ALCON - IRVINE TECHNOLOGY CENTER
Product Code
HQC
PMA / PMN Number
K082845
Removal / Correction Number
NA
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
BE
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

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 CUSTOMER REPORTED THAT DURING SECONDARY INTRAOCULAR LENS IMPLANTATION, THE PATIENT'S INTRAOCULAR PRESSURE (IOP) WAS NORMAL AT THE BEGINNING OF THE CASE, BUT THERE WAS A STRONG INCREASE WITH A STRONG VITREAL PRESSURE AT THE END AFTER IRRIGATION. A CAPSULAR RUPTURE OCCURRED AT IMPLANTATION, BUT WITHOUT REAL CONSEQUENCE AND A GOOD OPTICAL RESULT AFTERWARD. THE VISION IS OPTIMAL EVEN WITHOUT CORRECTION. THE IOP WAS NORMAL AGAIN THE NEXT DAY. THE SURGEON SUSPECTS, IT WAS A FORM OF MALIGNANT GLAUCOMA. THIS IS THE SECOND OF TWO RELATED REPORTS FOR THIS FACILITY.

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 Required Intervention (B)(4) INTRAOCULAR LENS