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U.S. Department of Health and Human Services

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

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ALCON RESEARCH, LLC - HOUSTON CONSTELLATION SURGICAL PROCEDURE PACK; GENERAL SURGERY TRAY (KIT) Back to Search Results
Catalog Number 8065753109
Medical Device Problem Codes Suction Problem (2170); Failure to Cut (2587); Air/Gas in Device (4062)
Health Effect - Clinical Code Insufficient Information (4580)
Date of Event 03/25/2026
Type of Reportable Event Malfunction
Event or Problem Description
A customer reported that both cutting and aspiration were affected, surgeon could not see well inside the eye that affect cutting efficiency, bubbles generated when cutter off during vitrectomy surgery.The surgery was completed on the same day.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).
 
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Brand Name
CONSTELLATION SURGICAL 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 Key24912707
Report Number1644019-2026-02103
Device Sequence Number9928530
Product Code LRO
UDI-Device Identifier00380657531097
UDI-Public(01)00380657531097(17)270930(11)251020(10)17NYKN
Combination Product (Y/N)N
Initial Reporter CountryHK
PMA/510(K) Number
K880961
Number of Events Summarized1
Summary Report (Y/N)N
Reporter Type Manufacturer
Report Source Foreign,Company Representative
Initial Reporter Occupation Non-Healthcare Professional
Type of Report Initial
Report Date (Section B) 04/17/2026
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 Number8065753109
Device Lot Number17NYKN
Was Device Available for Evaluation? No
Type of Report(Section G)Initial
Initial Date Received by Manufacturer 03/26/2026
Initial Report FDA Received Date04/17/2026
Date Device Manufactured10/20/2025
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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