| Brand Name | CONSTELLATION, EDGE PLUS, TOTAL PLUS, ULTRAVIT |
| Common Device Name | VITRECTOMY, INSTRUMENT CUTTER |
| Manufacturer (Section D) |
| ALCON LABORATORIES, INC. |
| 6201 south freeway |
| fort worth TX 76134 |
|
| MDR Report Key | 23424776 |
| Report Number | 23424776 |
| Device Sequence Number | 20893705 |
| Product Code |
MLZ
|
| UDI-Device Identifier | 00380657524358 |
| UDI-Public | (01)00380657524358 |
| Combination Product (Y/N) | N |
| Initial Reporter State | MT |
| Number of Events Summarized | 1 |
| Summary Report (Y/N) | N |
| Reporter Type |
User Facility
|
| Initial Reporter Occupation |
Non-Healthcare Professional
|
| Type of Report
| Initial |
| Report Date (Section B) |
10/13/2025 |
| Report Date (Section F) |
10/15/2025 |
| 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
|
| Device Model Number | 8065752435 |
| Device Catalogue Number | 8065752435 |
| Device Lot Number | 17EEHM |
| Was Device Available for Evaluation? |
Yes
|
| Was the Report Sent to FDA? |
Yes
|
| Device Age | 4 MO |
| Event Location |
Ambulatory Surgical Facility
|
| Date Report to Manufacturer | 10/30/2025 |
| Initial Date Received by Manufacturer | Not provided |
| Initial Report FDA Received Date | 10/30/2025 |
Is This a Single-Use Device that was Reprocessed and Reused on a Patient? (Y/N) |
No
|
| Usage of Device |
Unknown
|
| Patient Sequence Number | 1 |
| Patient Sex | Unknown |
| Date Report Sent to FDA | 10/15/2025 |
|
|