FDA Adverse Event Malfunction Summary report: N

CUSTOM PAK

MDR report key: 3061166 · Received April 10, 2013

Report

Report Number
1644019-2013-00035
Event Type
Malfunction
Date Received
April 10, 2013
Date of Event
March 12, 2013
Report Date
March 14, 2013
Manufacturer
ALCON - HOUSTON
Product Code
KYG
PMA / PMN Number
NA
Removal / Correction Number
NA
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
GM
Reporter Occupation
PHYSICIAN

Narratives

Additional Manufacturer Narrative · 1

A SAMPLE HAS BEEN RECEIVED, BUT HAS NOT YET BEEN EVALUATED. INVESTIGATION INCLUDING ROOT CAUSE ANALYSIS IS IN PROGRESS. A SUPPLEMENTAL MDR WILL BE FILED AS NECESSARY IN ACCORDANCE WITH 21 CFR 803.56 WHEN ADDITIONAL REPORTABLE INFORMATION BECOMES AVAILABLE. (B)(4).

Description of Event or Problem · 1

A SURGEON REPORTED THAT DURING A VITREORETINAL PROCEDURE, THE LUER LOCK CANNULA DISCONNECTED FROM THE SYRINGE DURING THE INJECTION OF OIL. THE SURGERY TEAM EXCHANGED THE PRODUCT FOR ANOTHER FROM A DIFFERENT LOT NUMBER AND EVERYTHING WORKED FINE. THERE WAS NO HARM TO THE PATIENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
149299 CUSTOM PAK CONVENIENCE KIT KYG ALCON - HOUSTON CUSTOM PAK 1353930H

Patients

Seq Age Sex Outcome Treatment
1 CONSTELLATION VISION SYSTEM