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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: ALCON RESEARCH, LLC - HOUSTON UNITY TOTAL PLUS COMBINED PROCEDURE PACK; GENERAL SURGERY TRAY (KIT)

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ALCON RESEARCH, LLC - HOUSTON UNITY TOTAL PLUS COMBINED PROCEDURE PACK; GENERAL SURGERY TRAY (KIT) Back to Search Results
Catalog Number 8065000383
Medical Device Problem Code Dull, Blunt (2407)
Health Effect - Clinical Code Insufficient Information (4580)
Date of Event 10/06/2025
Type of Reportable Event Malfunction
Event or Problem Description
A nurse reported that when a trocar blade was inserted into a patient's eye, the trocar could not be held in the eye and it was not released from the blade when the trocar blade was pulled out of the eye, it came out with the trocar on during vitrectomy surgery.The product was replaced to complete the surgery.There was no information about patient impact.
 
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).
 
Additional Manufacturer Narrative
Corrected information provided in b.2.And h.11.Upon receipt of additional information, following submission of the initial report, it has been confirmed that there was no blade (trocar) issue and the blade was stuck into the trocar resulting in product fitting problem.Based on current information available this event does not meet reporting criteria as per the applicable regulations.No further reports will be scheduled under mfg report num.1644019-2025-04417 the manufacturer internal reference number is: (b)(4).
 
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Brand Name
UNITY TOTAL PLUS COMBINED PROCEDURE PACK
Common Device Name
GENERAL SURGERY TRAY (KIT)
Manufacturer (Section D)
ALCON RESEARCH, LLC - HOUSTON
9965 buffalo speedway
houston TX 77054
Manufacturer (Section G)
ALCON RESEARCH, LLC - HOUSTON
9965 buffalo speedway
houston TX 77054
Manufacturer Contact
jonathan schlech
6201 south freeway
mail stop ab2-6
fort worth, TX 76134
8007579780
MDR Report Key23448669
Report Number1644019-2025-04417
Device Sequence Number13021790
Product Code LRO
UDI-Device Identifier00380650003836
UDI-Public(01)00380650003836(17)270430(11)250522(10)17E3EX
Combination Product (Y/N)N
Initial Reporter CountryJA
PMA/510(K) Number
K880961
Number of Events Summarized1
Summary Report (Y/N)N
Reporter Type Manufacturer
Report Source Foreign,Health Professional
Initial Reporter Occupation Nurse
Type of Report Initial,Followup
Report Date (Section B) 02/09/2026
1 Device was Involved in the Event
1 Patient was Involved in the Event
Is this an Adverse Event Report? Yes
Is this a Product Problem Report? Yes
Operator of Device Health Professional
Device Catalogue Number8065000383
Device Lot Number17E3EX
Was Device Available for Evaluation? No
Is the Reporter a Health Professional? Yes
Type of Report(Section G)Follow-Up
Initial Date Received by Manufacturer 10/08/2025
Supplement Date Received by Manufacturer01/12/2026
Initial Report FDA Received Date11/03/2025
Supplement Report FDA Received Date02/09/2026
Date Device Manufactured05/22/2025
Is This a Single-Use Device that was
Reprocessed and Reused on a Patient? (Y/N)
No
Usage of Device Initial
Patient Sequence Number1
Patient SexUnknown
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