FDA Adverse Event Injury Summary report: N

RESCAN 700

MDR report key: 21753839 · Received April 2, 2025

Report

Report Number
9615010-2025-00004
Event Type
Injury
Date Received
April 2, 2025
Date of Event
February 20, 2025
Report Date
April 3, 2025
Manufacturer
CARL ZEISS MEDITEC AG
Product Code
OBO
PMA / PMN Number
K141844
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
TX, US
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

THERE WAS NO DEVICE MALFUNCTION THAT COULD CAUSE OR CONTRIBUTE TO THE REPORTED INCIDENT. THE DEVICE WAS DESIGNED AND MANUFACTURED IN ACCORDANCE WITH THE CORRESPONDING LIMITS ACCORDING TO STANDARDS ISO/DIS 10936-2:2010 AND ISO 15004-2:2007, IEC 62471:2006, INCLUDING THE INSTALLATION OF AN ADEQUATE FILTER, ESPECIALLY FOR THE UV/IR RANGE, WHICH PREVENTS ANY LIGHT HAZARD FROM OPERATING MICROSCOPES USED IN OCULAR SURGERY.

Additional Manufacturer Narrative · 0

A1: ADDED PT ELANNAN. B5: REMOVED "(USING TISSUEBLUE)" FROM DESCRIPTION. E4: CHANGED FROM NO, TO UNKNOWN.

Description of Event or Problem · 0

A DOCTOR REPORTED THAT AFTER A VITRECTOMY SURGERY WITH RESCAN 700 (USING TISSUE BLUE), PATIENT EXPERIENCED RETINAL WHITENING AND VISION LOSS. PATIENT WAS REPORTED TO HAVE SUFFERED PERMANENT INJURY.

Description of Event or Problem · 0

A DOCTOR REPORTED THAT AFTER A VITRECTOMY SURGERY WITH RESCAN 700, PATIENT EXPERIENCED RETINAL WHITENING AND VISION LOSS. PATIENT WAS REPORTED TO HAVE SUFFERED PERMANENT INJURY.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
744763 RESCAN 700 RESCAN 700 OBO CARL ZEISS MEDITEC AG

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown Disability