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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: ALCON RESEARCH, LLC - IRVINE TECHNOLOGY CENTER LEGION SYSTEM; UNIT, PHACOFRAGMENTATION

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ALCON RESEARCH, LLC - IRVINE TECHNOLOGY CENTER LEGION SYSTEM; UNIT, PHACOFRAGMENTATION Back to Search Results
Catalog Number 8065753075
Medical Device Problem Code Application Program Freezes or Fails to Launch (4031)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Type of Reportable Event Malfunction
Additional Manufacturer Narrative
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).
 
Event or Problem Description
A customer reported that during cataract surgery ophthalmic system crashed, and the screen locked when switching from core to cortex suction.The procedures requested on the screen were performed without success.There was no patient impact.
 
Additional Manufacturer Narrative
Additional information is provided in sections d.9, h.3, h.6 and h.11.The company representative confirmed the reported event (via the event log review).However, they were unable to replicate the issue while on-site.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 review for complaints reported against this serial number was performed.No similar complaints were reported for the product serial under investigation with the same event code.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).
 
Additional Manufacturer Narrative
Additional information is provided in sections h.6 and h.11.The company representative was able to confirm the reported event.The representative resolved the issue, but cleaning and lubricating the fluidics module.The root cause of the reported event is attributed to the wear and reliability of the fluidics.The manufacturer internal reference number is: (b)(4).
 
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Brand Name
LEGION SYSTEM
Common Device Name
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 Key22306769
Report Number2028159-2025-00921
Device Sequence Number18141869
Product Code HQC
UDI-Device Identifier00380657530755
UDI-Public(01)00380657530755(17)320206(11)220208(10)149HM3
Combination Product (Y/N)N
Initial Reporter CountryBR
PMA/510(K) Number
K191650
Number of Events Summarized1
Summary Report (Y/N)N
Reporter Type Manufacturer
Report Source Foreign
Initial Reporter Occupation Non-Healthcare Professional
Type of Report Initial,Followup,Followup
Report Date (Section B) 09/08/2025
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
Operator of Device Health Professional
Device Catalogue Number8065753075
Device Lot Number149HM3
Was Device Available for Evaluation? Yes
Type of Report(Section G)Follow-Up
Initial Date Received by Manufacturer 05/27/2025
Supplement Date Received by Manufacturer07/23/2025
08/15/2025
Initial Report FDA Received Date06/23/2025
Supplement Report FDA Received Date08/05/2025
09/08/2025
Was Device Evaluated by Manufacturer? (Y/N) Yes
Date Device Manufactured02/08/2022
Is This a Single-Use Device that was
Reprocessed and Reused on a Patient? (Y/N)
No
Usage of Device Reuse
Patient Sequence Number1
Patient SexUnknown
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