inforMED
MalfunctionHQE

MIDLABS

Received Aug 28, 2015 · Event occurred Jun 27, 2014

Report 2935428-2015-00004 · MDR key 5045303

Device

Generic name

Vitreous Cutter

Model number

D06216

Lot number

13061204

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 SYSTEM AND IT DID NOT CUT. THE DEVICE DESCRIPTION IS A 23G, RI, VC ((B)(4)). THE PATIENT WAS UNDERGOING SURGERY, BUT THE DEVICE DID NOT MAKE DIRECT CONTACT WITH THE PATIENT AND THERE WAS NO REPORTED PATIENT INJURY. THE INCIDENT WAS REPORTED TO MID LABS ON (B)(6) 2015. THE DEVICE WAS RETURNED TO MID LABS AND RECEIVED ON (B)(6) 2015.