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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: ALCON RESEARCH, LLC - HOUSTON CENTURION SURGICAL PROCEDURE PAK; GENERAL SURGERY TRAY (KIT)

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ALCON RESEARCH, LLC - HOUSTON CENTURION SURGICAL PROCEDURE PAK; GENERAL SURGERY TRAY (KIT) Back to Search Results
Catalog Number 8065752182
Medical Device Problem Code Suction Problem (2170)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Date of Event 12/16/2025
Type of Reportable Event Malfunction
Additional Manufacturer Narrative
Additional information provided in d.9., h.3., h.6.And h.11.A wet fluid management system in a tray was visually inspected and was tested using a console.The product could be recognized and the service data could be retrieved from the console.However, the product failed to prime and generated a system message code.A leak was found at the aspiration luer fitting.The investigation conducted a non-conformance review of the reported lot number.No deviations that could have contributed to this event were identified and all corresponding production release specifications defined in the device master record were met.Based on the evaluation of the information and product received, the root cause of the no suction report which resulted in system message code was determined to be a leak found at the aspiration luer fitting.The broader investigation looking into the global trend associated with system message code reports was not able to assign a commonly shared root cause due to the variety of findings from multiple associated product evaluations.A number of potential contributing factors have been identified and are listed below.The broader investigation identified potential contributing factors that were associated with the global system message trend.These factors include variability in socket bonding performance and gaps in operator training related to the bonding process.An internal investigation was completed.Preventative action plans were initiated to address the contributing factors at the manufacturing site prior to june 2026.Preventive: create and implement on the job training documents that detail the precise process for socket bonding manifolds to fluid management systems.Preventive: update fluid management systems map and techno ideal method of procedure (mop) to include the details outlined in the on-the-job training.Complaints are reviewed and will continue to be monitored at regular intervals for adverse trends.Quality assurance has reviewed this complaint and will continue to monitor data for evidence of adverse trending and take further action, as appropriate.Consumables manufacturing management has been made aware of this complaint through the consumer affairs review meeting.The manufacturer internal reference number is: (b)(4).
 
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 physician reported that there was no suction in the fluid management system during ultrasound mode of cataract surgery.The procedure type was unknown.The procedure was completed on the same day by replacing with similar product.There was patient contact but no impact to the patient.
 
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Brand Name
CENTURION SURGICAL PROCEDURE PAK
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 Key24220681
Report Number1644019-2026-00595
Device Sequence Number15475151
Product Code LRO
UDI-Device Identifier00380657521821
UDI-Public(01)00380657521821(17)270131(11)250222(10)178W8K
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 Physician
Type of Report Initial,Followup
Report Date (Section B) 04/29/2026
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 Number8065752182
Device Lot Number178W8K
Was Device Available for Evaluation? Device Returned to Manufacturer
Is the Reporter a Health Professional? Yes
Type of Report(Section G)Initial
Initial Date Received by Manufacturer 01/06/2026
Supplement Date Received by Manufacturer04/07/2026
Initial Report FDA Received Date01/30/2026
Supplement Report FDA Received Date04/29/2026
Was Device Evaluated by Manufacturer? (Y/N) Yes
Date Device Manufactured02/22/2025
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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