inforMED
MalfunctionHQE

MIDLABS VITROUS CUTTER

Received Aug 28, 2015 · Event occurred Feb 16, 2012

Report 2935428-2015-00003 · MDR key 5045302

Device

Generic name

Vitrous Cutter

Model number

D04945

Lot number

13042508

Product problems

  • Appropriate Device Problem Term/Code Not Available

Patient

UNK

  • No Patient Involvement

Narrative

Additional Manufacturer Narrative

PROBE PASSED ALL MID PRODUCTION TESTING AND IS FULLY FUNCTIONAL.

Description of Event or Problem

PHYSICIAN ATTEMPTED TO USE CUTTER WITH AN ALCON ACCURUS 400 SYSTEM AND IT DID NOT CUT AND NO WATER ENTERED. THE OBSERVATION WAS MADE PRIOR TO USE ON THE PATIENT. THE DEVICE DESCRIPTION IS A 20G, R4, VC (P/N (B)(4) INTO 2900CE, LOT #13041508). THE PATIENT WAS UNDERGOING SURGERY, BUT THE DEVICE DID NOT MAKE DIRECT CONTACT WITH THE PATIENT AND THERE WAS NO REPORTED PATIENT INJURY AND SURGERY WAS COMPLETED. THE INCIDENT WAS REPORTED TO MID LABS ON (B)(6) 2015. THE DEVICE WAS RETURNED TO MID LABS AND RECEIVED ON (B)(6) 2015.