FDA Adverse Event Malfunction Summary report: N

INFINITI VISION SYSTEM OZIL

MDR report key: 3072601 · Received April 19, 2013

Report

Report Number
2028159-2013-00736
Event Type
Malfunction
Date Received
April 19, 2013
Date of Event
March 23, 2013
Report Date
March 23, 2013
Manufacturer
ALCON - IRVINE TECHNOLOGY CENTER
Product Code
HQC
PMA / PMN Number
K082845
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
UK
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

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 NURSE REPORTED THAT "ABNORMAL OCCLUSION EVENTS" WERE OBSERVED DURING A CATARACT WITH INTRAOCULAR LENS IMPLANT PROCEDURE; IT WAS REPORTED THAT THE UNIT KEPT GIVING THE OCCLUSION ALARM DURING PHACOEMULSIFICATION IN THE SCULPT SETTING. THE CASE WAS COMPLETED WITH NO HARM TO THE PT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
170080 INFINITI VISION SYSTEM OZIL PHACOFRAMENTATION SYSTEM HQC ALCON - IRVINE TECHNOLOGY CENTER INFINITI OZIL NA

Patients

Seq Age Sex Outcome Treatment
1