FDA Adverse Event
Malfunction
Summary report: N
KNIFE
MDR report key: 3043013
·
Received March 7, 2013
Report
- Report Number
- 2523835-2013-00022
- Event Type
- Malfunction
- Date Received
- March 7, 2013
- Date of Event
- February 4, 2013
- Report Date
- February 5, 2013
- Manufacturer
- ALCON PRECISION DEVICE - SINKING SPRING
- Product Code
- HNN
- PMA / PMN Number
- NA
- Removal / Correction Number
- NA
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- GM
- Reporter Occupation
- OTHER
Narratives
Additional Manufacturer Narrative · 1
THE INVESTIGATION IS IN PROGRESS. SAMPLES HAVE BEEN RECEIVED AND IN-HOUSE TESTING IS IN PROGRESS. THE DEVICE HISTORY RECORD (DHR) FOR THE LOT WAS REVIEWED. FUNCTIONAL PENETRATION AND SHARPNESS TEST VALUES FOR THE LOT MET SPECIFICATION. NO ABNORMALITIES THAT COULD HAVE CONTRIBUTED TO A BLUNT KNIFE WERE FOUND DURING THE DHR REVIEW AND THE PRODUCT WAS RELEASED ACCORDING TO MANUFACTURER'S ACCEPTANCE CRITERIA. (B)(4).
Description of Event or Problem · 1
A CUSTOMER REPORTED THAT MULTIPLE PHACO LANCES WERE BLUNT DURING SURGERIES. THE PROCEDURES WERE COMPLETED WITH THE LANCES BUT ADDITIONAL FORCE HAD TO BE USED IN ORDER TO MAKE THE INCISION. THERE WAS NO PT HARM REPORTED.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 98371 | KNIFE | MANUAL OPTHALMIC SURGICAL INSTRUMENT | HNN | ALCON PRECISION DEVICE - SINKING SPRING | 8065993047 | 863469M |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |