FDA Adverse Event Malfunction Summary report: N

INFINITI VISION SYSTEM OZIL

MDR report key: 3231977 · Received July 15, 2013

Report

Report Number
2028159-2013-01360
Event Type
Malfunction
Date Received
July 15, 2013
Date of Event
June 17, 2013
Report Date
June 18, 2013
Manufacturer
ALCON - IRVINE TECHNOLOGY CTR
Product Code
HQC
PMA / PMN Number
K082845
Removal / Correction Number
NA
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
BR
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

THE COMPANY REP EXAMINED THE SYSTEM AND CONFIRMED THE PROBLEM REPORTED. THE COMPANY REP REINSTALLED THE SYSTEM'S OPERATING SYSTEM. THE SOFTWARE WAS UPDATED. PREVENTIVE MAINTENANCE WAS PERFORMED. THE SYSTEM WAS THEN TESTED AND MET ALL PRODUCT SPECIFICATIONS. THERE WAS NO SAMPLE RETURNED FOR EVAL AND NO ADDITIONAL INFO PROVIDED RELATED TO THIS EVENT. FOR THIS REASON, STEPS COULD NOT BE TAKEN TO REPLICATE OR CONFIRM THE REPORTED EVENT. A REVIEW OF COMPLAINTS FOR THE LAST 24 MONTHS DID NOT INDICATE ANY ADDITIONAL SIMILAR REPORTS FOR THIS SYSTEM. THE ROOT CAUSE CANNOT BE DETERMINED CONCLUSIVELY. (B)(4).

Description of Event or Problem · 1

A CUSTOMER REPORTED THAT THE SYSTEM PRESENTED A SOFTWARE PROBLEM, DISPLAYED A SYSTEM MESSAGE AND LOCKED DURING A CATARACT PROCEDURE. THE PROCEDURE WAS COMPLETED WITH MANUAL ASPIRATION. THERE WAS NO PT HARM AND THE DELAY WAS LESS TAN 15 MINUTES.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
326701 INFINITI VISION SYSTEM OZIL PHACOFRAGMENTATION SYSTEM HQC ALCON - IRVINE TECHNOLOGY CTR INFINITI OZIL NA

Patients

Seq Age Sex Outcome Treatment
1