| Brand Name | INTREPID BIMANUAL POLYMER DISPOSABLE I/A SET |
| Common Device Name | DEVICE, IRRIGATION, OCULAR SURGERY |
| Manufacturer (Section D) |
| ALCON RESEARCH, LLC - ALCON PRECISION DEVICE |
| 714 columbia avenue |
| sinking spring PA 19608 |
|
| Manufacturer (Section G) |
| ALCON RESEARCH, LLC - ALCON PRECISION DEVICE |
| 714 columbia avenue |
|
| sinking spring PA 19608 |
|
| Manufacturer Contact |
|
jonathan
schlech
|
| 6201 south freeway |
| mail stop ab2-6 |
| fort worth, TX 76134
|
|
8007579780
|
|
| MDR Report Key | 24629256 |
| Report Number | 2523835-2026-00285 |
| Device Sequence Number | 9068173 |
| Product Code |
KYG
|
| Combination Product (Y/N) | N |
| Initial Reporter Country | NL |
| PMA/510(K) Number | EXEMPT |
| Number of Events Summarized | 1 |
| Summary Report (Y/N) | N |
| Reporter Type |
Manufacturer
|
| Report Source |
Foreign,Health Professional,Company Representative |
| Initial Reporter Occupation |
Other Health Care Professional
|
| Type of Report
| Initial,Followup |
| Report Date (Section B) |
07/06/2026 |
| 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 Number | 8065751922 |
| Device Lot Number | 17K1DL |
| 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 | 03/09/2026 |
| Supplement Date Received by Manufacturer | 06/13/2026
|
| Initial Report FDA Received Date | 03/18/2026 |
| Supplement Report FDA Received Date | 07/06/2026
|
| Date Device Manufactured | 07/24/2025 |
Is This a Single-Use Device that was Reprocessed and Reused on a Patient? (Y/N) |
No
|
| Usage of Device |
Initial
|
| Patient Sequence Number | 1 |
Concomitant Medical Products and Therapy/Usage Dates | CUSTOM-PAK SURGICAL PROCEDURE PACK. |
| Patient Sex | Unknown |