BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    ALCON ACCURUS 25+ GAUGE VITRECTOMY TOTAL PLUS PAK

    MDR report key: 2935938 · Received January 28, 2013

    Report

    Report Number
    2935938
    Event Type
    Malfunction
    Date Received
    January 28, 2013
    Date of Event
    March 12, 2012
    Report Date
    January 28, 2013
    Manufacturer
    ALCON LABORATORIES, INC.
    Product Code
    HQC
    Product Problem
    Yes
    Report Source
    User Facility report
    Reporter Location
    FL, US

    Narratives

    Description of Event or Problem · 1

    WHEN THE SURGEON WENT TO PICK UP THE LIGHT PIPE, IT FELL APART IN HER HAND.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    38349 ALCON ACCURUS 25+ GAUGE VITRECTOMY TOTAL PLUS PAK VITRECTOMY, INSTRUMENT CUTTER, LIGHT CORD HQC ALCON LABORATORIES, INC. * 12010543X-2012-1

    Patients

    Seq Age Sex Outcome Treatment
    1 *