FDA Adverse Event Injury Summary report: N

INFINITI VISION SYSTEM

MDR report key: 606840 · Received May 23, 2005

Report

Report Number
2028159-2005-00072
Event Type
Injury
Date Received
May 23, 2005
Report Date
April 22, 2005
Manufacturer
ALCON-IRVINE TECHNOLOGY CENTER
Product Code
HQC
Removal / Correction Number
NA
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
BE
Reporter Occupation
PHYSICIAN

Narratives

Description of Event or Problem · 1

REPORTER NOTED CAPSULAR OCCURRED DURING PROCEDURE. PT HAS BEEN REFERRED TO VIT-RET SURGEON DUE TO SUBSEQUENT RETINAL DETACHMENT. CONDITION REPORTED AS UNSATISFACTORY.

Devices

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

Patients

Seq Age Sex Outcome Treatment
1 NO INFO Required Intervention