ULTRA FLOW IA HAND PIECE 0123

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2017-04-27 for ULTRA FLOW IA HAND PIECE 0123 manufactured by Alcon.

Event Text Entries

[74051983] Surgeon reported during the case the alcon infiniti machine and ia hand piece were not working properly in the suction mode to remove the cataract. The other ia hand piece was dirty from the previous patient and was not washed as the case we were working on was the last one of the day. Central sterile was called and the other hand piece was washed and put in sterilizer. That process was 20 min. Surgeon continued to operate as patient was receiving conscious sedation anesthesia. Added procedure included; anterior vitrectomy and anterior chamber lens implantation (completed as the other hand piece came up from sterilization). Vantage outsourcing rep. Investigated the problem after the surgery to determine if it was the infiniti machine or the ia hand piece. It was found to be the hand piece malfunction. There was no suction on the handpiece to suction out the cataract, the surgeon had to do a manual retrieval. Dates of use: (b)(6) 2017. Diagnosis or reason for use: cataract right eye.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report NumberMW5069383
MDR Report Key6529437
Date Received2017-04-27
Date of Report2017-04-14
Date of Event2017-04-11
Date Added to Maude2017-04-28
Event Key0
Report Source CodeVoluntary report
Manufacturer LinkN
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Reporter OccupationRISK MANAGER
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Single Use3
Previous Use Code3
Event Type3
Type of Report0

Device Details

Brand NameULTRA FLOW IA HAND PIECE
Generic NameIA HAND PIECE/VITRECTOMY INSTRUMENT CUTTER
Product CodeMLZ
Date Received2017-04-27
Returned To Mfg2017-04-11
Model Number0123
OperatorHEALTH PROFESSIONAL
Device AvailabilityR
Device Eval'ed by MfgrI
Device Sequence No1
Device Event Key0
ManufacturerALCON


Patients

Patient NumberTreatmentOutcomeDate
10 2017-04-27

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