FDA Adverse Event
Malfunction
Summary report: N
ULTRA FLOW
MDR report key: 22698159
·
Received August 4, 2025
Report
- Report Number
- 22698159
- Event Type
- Malfunction
- Date Received
- August 4, 2025
- Date of Event
- July 1, 2025
- Report Date
- July 25, 2025
- Manufacturer
- ALCON LABORATORIES, INC.
- Product Code
- NKK
- Product Problem
- Yes
- Report Source
- User Facility report
- Reporter Location
- TX
- Reporter Occupation
- OTHER HEALTH CARE PROFESSIONAL
- Health Professional
- Yes
Narratives
Description of Event or Problem · 0
TOWARDS THE END OF THE SURGICAL PROCEDURE, THE SURGEON NOTICED METALLIC SHAVINGS WITHIN THE PATIENT'S ANTERIOR CHAMBER OF THE EYE. AT THIS POINT, THE SURGEON PAUSED THE SURGERY AND COMMENCED TO REMOVE THE METAL SHAVINGS FROM WITHIN THE PATIENT'S EYE. ALL METAL SHAVINGS THAT WERE VISIBLE TO THE SURGEON UNDER THE MICROSCOPE WERE REMOVED.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 230209 | ULTRA FLOW | NEEDLE, HYPODERMIC, SINGLE LUMEN, REPROCESSED | NKK | ALCON LABORATORIES, INC. | 8065751795 | 16DX0U |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 80 YR | Female |