INTREPID AUTOSERT IOL HANDPIECE 8065751755

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a other report with the FDA on 2015-11-18 for INTREPID AUTOSERT IOL HANDPIECE 8065751755 manufactured by Alcon Research, Ltd. - Irvine Technology Center.

Event Text Entries

[31506237] 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. (b)(4).
Patient Sequence No: 1, Text Type: N, H10


[31506238] A customer reported that an intraocular lens (iol) handpiece injector cracked the iol cartridge during a cataract with iol procedure. The patient experienced an enlarged wound opening and wound leakage. Additional information has been requested but has not been received.
Patient Sequence No: 1, Text Type: D, B5


[35119164] The company service representative examined the intraocular lens (iol) injector and found the tip was bent. The iol injector will be replaced. The iol injector was manufactured on june 2, 2014. Based on qa assessment, the product met specifications at the time of release. A review of the manufacturing records did not reveal any related non-conformity during manufacturing for this product. A review of complaints for the last 24 months did not indicate any additional related reports for this iol injector serial number. A review of complaints for the last 24 months did not indicate any additional related reports for this system serial number. The reported event was replicated; however, what caused the plunger to bend upon contact with the cartridge remains inconclusive. Per the iol injector directions for use (dfu), during the pre-load function, the plunger should make initial contact with the cartridge at the ramp. Whether or not this was the issue the site experienced remains inconclusive. Another option of what caused the bend could be failure to follow the dfu on cartridge installation to the nosecone of the iol injector. The dfu is provided to the customer. The root cause of the reported event cannot be determined conclusively. (b)(4).
Patient Sequence No: 1, Text Type: N, H10


MAUDE Entry Details

Report Number2028159-2015-09482
MDR Report Key5233097
Report SourceOTHER
Date Received2015-11-18
Date of Report2016-01-06
Date of Event2015-11-02
Date Mfgr Received2015-12-23
Device Manufacturer Date2014-06-02
Date Added to Maude2015-11-18
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Manufacturer ContactMR. EDDIE DARTON, MD, JD
Manufacturer Street6201 SOUTH FREEWAY MAIL STOP AB2-6
Manufacturer CityFORT WORTH TX 76134
Manufacturer CountryUS
Manufacturer Postal76134
Manufacturer Phone8175686660
Manufacturer G1ALCON RESEARCH, LTD. - IRVINE TECHNOLOGY CENTER
Manufacturer Street15800 ALTON PARKWAY
Manufacturer CityIRVINE CA 92618
Manufacturer CountryUS
Manufacturer Postal Code92618
Single Use3
Previous Use Code3
Removal Correction NumberNA
Event Type3
Type of Report3

Device Details

Brand NameINTREPID AUTOSERT IOL HANDPIECE
Generic NameAPPARATUS, CAUTERY, RADIOFREQUENCY, AC-POWERED
Product CodeHQR
Date Received2015-11-18
Model NumberNA
Catalog Number8065751755
Lot NumberNA
OperatorHEALTH PROFESSIONAL
Device AvailabilityY
Device AgeDA
Device Eval'ed by MfgrR
Device Sequence No1
Device Event Key0
ManufacturerALCON RESEARCH, LTD. - IRVINE TECHNOLOGY CENTER
Manufacturer Address15800 ALTON PARKWAY IRVINE CA 92618 US 92618


Patients

Patient NumberTreatmentOutcomeDate
101. Other 2015-11-18

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