FDA Adverse Event
Malfunction
Summary report: N
VORTEX SURGICAL
MDR report key: 24078620
·
Received January 15, 2026
Report
- Report Number
- 3013002167-2026-00003
- Event Type
- Malfunction
- Date Received
- January 15, 2026
- Date of Event
- November 13, 2025
- Report Date
- January 13, 2026
- Manufacturer
- VORTEX SURGICAL INC.
- Product Code
- HQB
- UDI-DI
- 00810123483549
- PMA / PMN Number
- K220263
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- MO, US
- Reporter Occupation
- PHYSICIAN
- Health Professional
- Yes
Narratives
Additional Manufacturer Narrative · 0
AFTER AN INVESTIGATION WE HAVE DETERMINED THAT SOME TIPS HAVE ABNORMALITIES THAT MAY PREVENT INSERTION INTO A 25GA CANNULA OR PROVIDE RESISTANCE REMOVING THE DEVICE FROM THE CANNULA. PRODUCTION AND QUALITY CONTROL HAVE BEEN MADE AWARE OF THE ISSUE TO HELP PREVENT REOCCURRENCE. DEVICES ARE 100% CHECKED ON CANULA COMPATIBILITY PRIOR TO RELEASE. THE ASSEMBLY LOT 040-2509-288 THAT MAY BE AFFECTED CONTAINING 295 ASSEMBLIES. THESE 295 ASSEMBLIES WERE USED IN ONE FINISHED GOOD STERILE LOT (2509040) CONTAINING 59 BOXES. WE HAVE RECALLED ALL 59 BOXES.
Description of Event or Problem · 0
SURGEON HAD DIFFICULTY GETTING VS0135.25 ILLUMINATED FLEX-TIP LASER PROBE TO PASS THROUGH TRANSITION OF THE CANNULA. CANNULA PULLED OUT OF THE EYE. NO PATIENT HARM NOTED BY SURGEON.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 146404 | VORTEX SURGICAL | OPHTHALMIC ILLUMINATED LASER PROBE | HQB | VORTEX SURGICAL INC. | VS0135.25 | 2509040 | 00810123483549 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA | Unknown | Other |