Brand Name | CENTURION VISION SYSTEM, ACCESSORY, OZIL TORSIONAL HANDPIECE |
Type of Device | UNIT, PHACOFRAGMENTATION |
Manufacturer (Section D) |
ALCON RESEARCH, LLC - IRVINE TECHNOLOGY CENTER |
15800 alton parkway |
irvine CA 92618 |
|
Manufacturer (Section G) |
ALCON RESEARCH, LLC - IRVINE TECHNOLOGY CENTER |
15800 alton parkway |
|
irvine CA 92618 |
|
Manufacturer Contact |
jonathan
schlech
|
6201 south freeway |
mail stop ab2-6 |
fort worth, TX 76134
|
8007579780
|
|
MDR Report Key | 18666638 |
MDR Text Key | 334839996 |
Report Number | 2028159-2024-00196 |
Device Sequence Number | 1 |
Product Code |
HQC
|
UDI-Device Identifier | 00380657517619 |
UDI-Public | 00380657517619 |
Combination Product (y/n) | N |
Reporter Country Code | PL |
PMA/PMN Number | K121555 |
Number of Events Reported | 1 |
Summary Report (Y/N) | N |
Report Source |
Manufacturer
|
Source Type |
Foreign,Health Professional |
Reporter Occupation |
Nurse
|
Type of Report
| Initial,Followup |
Report Date |
06/12/2024 |
1 Device was Involved in the Event |
|
1 Patient was Involved in the Event |
|
Is this an Adverse Event Report? |
No
|
Is this a Product Problem Report? |
Yes
|
Device Operator |
Health Professional
|
Device Catalogue Number | 8065751761 |
Device Lot Number | 13RTYD |
Was Device Available for Evaluation? |
No
|
Is the Reporter a Health Professional? |
Yes
|
Initial Date Manufacturer Received |
02/02/2024 |
Initial Date FDA Received | 02/08/2024 |
Supplement Dates Manufacturer Received | 05/14/2024
|
Supplement Dates FDA Received | 06/12/2024
|
Was Device Evaluated by Manufacturer? |
Device Not Returned to Manufacturer
|
Date Device Manufactured | 02/05/2021 |
Is This a Reprocessed and Reused Single-Use Device? |
No
|
Type of Device Usage |
Reuse
|
Patient Sequence Number | 1 |
|
|