FDA Adverse Event Malfunction Summary report: N

SURGICAL MICROSCOPE

MDR report key: 4887 · Received August 4, 1992

Report

Report Number
4887
Event Type
Malfunction
Date Received
August 4, 1992
Date of Event
February 19, 1992
Report Date
May 13, 1992
Manufacturer
CARL ZEISS, INC.
Product Code
EPT
Product Problem
Yes
Report Source
User Facility report

Narratives

Description of Event or Problem · 1

THE PATIENT UNDERWENT EXTRA CAPSULAR CATARACT ASPIRATION OF THE RIGHT EYE. DURING THE PROCEDURE, A ZONULAR DEHISCENCE WAS NOTED WITH PRESENTATION OF THE VITREOUS. AN INTRACAPSULAR CATARACT EXTRACTION WITH INSERTION OF AN INTRAOCULAR LENS PROSTHESIS WAS ATTEMPTED BUT HINDERED BY THE MALFUNCTION OF A SURGICAL MICROSCOPE (SEE REPORT SEQUENCE NO. 0002). THE S-22 WAS BROUGHT TO THE O.R. BUT WAS INOPERABLE. EVALUATION OF THE DEVICE: THE MICROSCOPE WAS CLEANED BY STAFF THE DAY PRIOR TO THE INCIDENT. IT WAS REPARIED BY THE MANUFACTURER ON 2/19/92 INCLUDING ADJUSTMENT OF THE FOOT SWITCH AND REPLACEMENT OF THE FOCUS UP SWITCHDEVICE NOT LABELED FOR SINGLE USE. PATIENT MEDICAL STATUS PRIOR TO EVENT: SATISFACTORY CONDITION. THERE WAS NOT MULTIPLE PATIENT INVOLVEMENT.DEVICE SERVICED IN ACCORDANCE WITH SERVICE SCHEDULE. DATE LAST SERVICED: . SERVICE PROVIDED BY: INVALID DATA. INVALID DATA - SERVICE RECORDS AVAILABILITY. NO IMMINENT HAZARD TO PUBLIC HEALTH CLAIMED. DEVICE USED AS LABELED/INTENDED.DEVICE WAS EVALUATED AFTER THE EVENT. METHOD OF EVALUATION: ACTUAL DEVICE INVOLVED IN INCIDENT WAS EVALUATED, MECHANICAL TESTS PERFORMED. RESULTS OF EVALUATION: INVALID DATA. CONCLUSION: INVALID DATA. CERTAINTY OF DEVICE AS CAUSE OF OR CONTRIBUTOR TO EVENT: YES. CORRECTIVE ACTIONS: DEVICE REPAIRED AND PUT BACK IN SERVICE. INVALID DATA - ON DEVICE DESTROYED/DISPOSED OF STATUS.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 SURGICAL MICROSCOPE EPT CARL ZEISS, INC. S-22 OPMI65FR

Patients

Seq Age Sex Outcome Treatment
1 69 YR Other