FDA Adverse Event Malfunction Summary report: N

CUSTOM PAK

MDR report key: 3123713 · Received May 15, 2013

Report

Report Number
3002037047-2013-00038
Event Type
Malfunction
Date Received
May 15, 2013
Report Date
April 16, 2013
Manufacturer
ALCON - BELGIUM / S.A. - ALCON-COUVREUR N.V.
Product Code
KYG
PMA / PMN Number
NA
Removal / Correction Number
NA
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
NL
Reporter Occupation
UNKNOWN

Narratives

Additional Manufacturer Narrative · 1

THE INVESTIGATION IS IN PROGRESS. SAMPLES HAVE NOT YET BEEN RECEIVED FOR EVAL. THE DEVICE HISTORY RECORD (DHR) FOR THE LOT WAS REVIEWED. NO ABNORMALITIES THAT COULD HAVE CONTRIBUTED TO METAL PARTICLES WERE FOUND DURING THE DHR REVIEW AND THE PRODUCT WAS RELEASED ACCORDING TO THE MFR'S ACCEPTANCE CRITERIA. A ROOT CAUSE HAS NOT BEEN IDENTIFIED. (B)(4).

Description of Event or Problem · 1

A SURGEON REPORTED SEEING "MINOR METAL PARTICLES" IN THE PARACENTESIS AFTER USING A KNIFE DURING SURGERY. IT WAS REPORTED THAT THE METAL PARTICLES ARE TOO SMALL TO GRAB AND WERE LEFT IN THE EYE. THE PROCEDURE WAS COMPLETED WITH NO HARM TO THE PT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
214469 CUSTOM PAK CONVENIENCE KIT KYG ALCON - BELGIUM / S.A. - ALCON-COUVREUR N.V. CUSTOM PAK 353820

Patients

Seq Age Sex Outcome Treatment
1 CLEARCUT SIDE PORT KNIFE 1.2MM ANGLE