Model Number TABLETOP-JAPAN |
Device Problem
Adverse Event Without Identified Device or Use Problem (2993)
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Patient Problem
Endophthalmitis (1835)
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Event Date 10/15/2019 |
Event Type
Injury
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Manufacturer Narrative
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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.The manufacturer internal reference number is: (b)(4).
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Event Description
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A customer reported that an ophthalmic operating console and pack was used for the vitrectomy surgery.A 77 years female patient experienced the postoperative endophthalmitis for which the patient was hospitalized.The patient was recovered from the reported event.
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Manufacturer Narrative
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The company representative was unable to confirm nor replicate the reported event.The system was tested and found to meet product specifications.A non-conformance based review of the serial number was performed and did not reveal any potential contributing factors to the reported complaint.A manufacturing device history record (dhr) review was performed prior to product release to ensure that the product was manufactured in compliance with the device master record.Based on the assessment, the product met release criteria.A non-conformance based review of the serial number was performed and a potential contributing factor to the reported complaint was identified.Nonconformance investigation (nci) was opened but was later determined to be irrelevant to this investigation.A review for complaints reported against this serial number was performed.No similar complaints were reported for the product serial under investigation.The system was found to have no problem.Therefore, the root cause of the reported event is inconclusive.Manufacturer will continue to monitor data for evidence of adverse trending and take further action, as appropriate.The manufacturer internal reference number is: (b)(4).
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Search Alerts/Recalls
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