FDA Adverse Event Injury Summary report: N

ACCURUS VITRECTOMY SYSTEM

MDR report key: 3042256 · Received March 18, 2013

Report

Report Number
3042256
Event Type
Injury
Date Received
March 18, 2013
Date of Event
March 18, 2013
Report Date
March 18, 2013
Manufacturer
ALCON LENSX, INC.
Product Code
HQC
Adverse Event
Yes
Product Problem
Yes
Report Source
User Facility report
Reporter Location
IL, US

Narratives

Description of Event or Problem · 1

SURGEON PERFORMING VITRECTOMY FOR DIAGNOSIS OF SEVERE RETINA DETACHMENT. SURGEON REPORTS WHEN REMOVING FLUID FROM THE EYE, THE MACHINE DID NOT INSTILL FLUID INTO THE EYE TO MAINTAIN EQUILIBRIUM. THE SURGEON NOTED POOR FLUID PRESSURE FROM THE DEVICE. AS A RESULT, THE EYE RESPONDED BY COLLAPSING DOWN ON ITSELF CAUSING THE PROCEDURE TO BE QUITE DIFFICULT. DEVICE REMOVED FROM EYE AND A SYSTEM TEST PERFORMED BY THE EYE RN SPECIALTY LEADER. REP CONTACTED AND GAVE DIRECTIONS REGARDING HOW TO TEST THE DEVICE ON TEST OVER THE PHONE. TEST PERFORMED DEMONSTRATES FLUID RUNNING WELL. TUBING REINSERTED INTO THE EYE BY THE SURGEON AND YET THE SAME COLLAPSING EYE EVENT OCCURRED. THE DEVICE WAS RUNNING PROPERLY WHEN PROBE OUT OF EYE BUT FAILING TO PERFORM WHEN PROBE RE-INSERTED INTO THE EYE.THE MACHINE IS BEING INSPECTED BY OUR BIOMED ENGINEER AND THE MANUFACTURER AS WELL. THERE ARE VERY SPECIFIC GUIDELINES THAT THE SURGEON NEEDS TO ADHERE TO WHEN USING THIS PIECE OF EQUIPMENT. A FEW MILLIMETERS OF MISDIRECTION CAN CAUSE A MALFUNCTION IN THE TROCAR AND THE FLUID MANAGEMENT WITHIN THE EYE. THE EQUIPMENT WILL REMAIN OUT OF SERVICE UNTIL CLEARED BY ALL INSPECTIONS. NO HARM TO PATIENT, SURGEON MODIFIED PROCEDURE TO USE WHAT WAS AVAILABLE TO HIM.WHAT WAS THE ORIGINAL INTENDED PROCEDURE?LASER ASSISTED VITECTOMY FOR SERIOUS RETINAL DETACHMENT.DEVICE #1IS THIS A LABORATORY DEVICE OR LABORATORY TEST?NO.DEVICE #2IS THIS A LABORATORY DEVICE OR LABORATORY TEST?NO.DEVICE #3IS THIS A LABORATORY DEVICE OR LABORATORY TEST?NO.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
111651 ACCURUS VITRECTOMY SYSTEM UNIT, PHACOFRAGMENTATION HQC ALCON LENSX, INC. 300VS *
111652 ACCURUS VGFI TUBING SET PHACOFRAGMENTATION SYSTEM HQC ALCON LENSX, INC. * *
111697 ACCURUS TOTAL PLUS VITRECTOMY PACK INSTRUMENT, VITREOUS ASPIRATION AND CUTTING KYG ALCON LABORATORIES, INC. * 812-1424-010 REV AC

Patients

Seq Age Sex Outcome Treatment
1 60 YR Required Intervention VITRECTOMY SYSTEM ALCON VGFI TUBING SET| ALCON TOTAL PLUS 23G VITECTOMY PACK FOR ACCURUS