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