25+ TOTALPLUS VITRECTOMY PAK 8065751462

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2016-03-29 for 25+ TOTALPLUS VITRECTOMY PAK 8065751462 manufactured by Alcon Laboratories, Inc..

Event Text Entries

[41318641]
Patient Sequence No: 1, Text Type: N, H10


[41318642] While loading the pack in the machine, the machine kept alarming "overfill" and would not let staff move on from the screen and machine froze. Restarted machine and installed a new pack to complete procedure without difficulty manufacturer response for 25+ totalplus vitrectomy pak, 25+ totalplus vitrectomy pak (per site reporter): manufacturer provided shipping instructions and tracking#.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number5531234
MDR Report Key5531234
Date Received2016-03-29
Date of Report2016-03-18
Date of Event2016-03-03
Report Date2016-03-18
Date Reported to FDA2016-03-18
Date Reported to Mfgr2016-03-18
Date Added to Maude2016-03-29
Event Key0
Report Source CodeUser Facility report
Manufacturer LinkN
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
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand Name25+ TOTALPLUS VITRECTOMY PAK
Generic NameVITRECTOMY, INSTRUMENT CUTTER, LIGHT CORD
Product CodeMLZ
Date Received2016-03-29
Returned To Mfg2015-03-18
Catalog Number8065751462
Lot Number1794148H
Device Expiration Date2017-08-01
OperatorPHYSICIAN
Device AvailabilityR
Device Age1 DY
Device Eval'ed by Mfgr*
Device Sequence No1
Device Event Key0
ManufacturerALCON LABORATORIES, INC.
Manufacturer Address6201 SOUTH FREEWAY FORT WORTH TX 76134 US 76134


Patients

Patient NumberTreatmentOutcomeDate
10 2016-03-29

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