FDA Adverse Event Injury Summary report: N

INFINITI VISION SYSTEM

MDR report key: 3669518 · Received February 7, 2014

Report

Report Number
2028159-2014-00195
Event Type
Injury
Date Received
February 7, 2014
Report Date
January 14, 2014
Manufacturer
ALCON - IRVINE TECHNOLOGY CENTER
Product Code
HQC
PMA / PMN Number
K021566
Removal / Correction Number
NA
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
NL
Reporter Occupation
PHYSICIAN

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. CITATION: DOORS M, TOS T, BERENDSCHOT JM, TOUWSLAGER W, WEBERS C, NUJITS R. JAMA OPHTHALMOL 2013; 131(11): 1443-1450. (B)(4).

Description of Event or Problem · 1

THE AUTHORS OF A LITERATURE REPORT AIMED AT COMPARING CORNEAL THICKNESS AND CORNEAL VOLUME CHANGES USING TORSIONAL AND LONGITUDINAL PHACOEMULSIFICATION IN PATIENTS WITH FUCHS ENDOTHELIAL DYSTROPHY (FED) REPORTED AN EYE IN THE LONGITUDINAL GROUP NEEDED ONE SUTURE TO CLOSE THE MAIN INCISION BECAUSE OF THERMAL INJURY OF THE CORNEA. THE EYE HAD A LOCS II GRADE 3 NUCLEUS WITH A CUMULATIVE DISSIPATED ENERGY AND ULTRASOUND TIME COMPARABLE WITH OTHERS IN THE LOCS II GRADE 3 GROUP.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
78697 INFINITI VISION SYSTEM PHACOFRAGMENTATION SYSTEM HQC ALCON - IRVINE TECHNOLOGY CENTER INFINITI NA

Patients

Seq Age Sex Outcome Treatment
1 Required Intervention 45 DEGREES MINI FLARED KELMAN TIP| 0.9 MM ULTRA SLEEVE| INTREPID FMS