| Brand Name | CENTURION VISION SYSTEM |
| Common Device Name | UNIT, PHACOFRAGMENTATION |
| Manufacturer (Section D) |
| ALCON RESEARCH, LLC - IRVINE TECHNOLOGY CENTER |
| 15800 alton parkway |
| irvine CA 92618 |
|
| Manufacturer (Section G) |
| ALCON RESEARCH, LLC - IRVINE TECHNOLOGY CENTER |
| 15800 alton parkway |
|
| irvine CA 92618 |
|
| Manufacturer Contact |
|
jonathan
schlech
|
| 6201 south freeway |
| mail stop ab2-6 |
| fort worth, TX 76134
|
|
8007579780
|
|
| MDR Report Key | 24923551 |
| Report Number | 2028159-2026-00531 |
| Device Sequence Number | 18453551 |
| Product Code |
HQC
|
| UDI-Device Identifier | 00380657517633 |
| UDI-Public | (01)00380657517633(17)280702(11)180703(10)NA |
| Combination Product (Y/N) | N |
| Initial Reporter Country | IN |
| PMA/510(K) Number | K121555 |
| Number of Events Summarized | 1 |
| Summary Report (Y/N) | N |
| Reporter Type |
Manufacturer
|
| Report Source |
Foreign |
| Initial Reporter Occupation |
Non-Healthcare Professional
|
| Type of Report
| Initial,Followup |
| Report Date (Section B) |
07/20/2026 |
| 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 | 8065751763 |
| Was Device Available for Evaluation? |
No
|
| Type of Report(Section G) | Follow-Up |
| Initial Date Received by Manufacturer | 03/30/2026 |
| Supplement Date Received by Manufacturer | 06/26/2026
|
| Initial Report FDA Received Date | 04/20/2026 |
| Supplement Report FDA Received Date | 07/20/2026
|
| Date Device Manufactured | 07/03/2018 |
Is This a Single-Use Device that was Reprocessed and Reused on a Patient? (Y/N) |
No
|
| Usage of Device |
Reuse
|
| Patient Sequence Number | 1 |
| Patient Sex | Unknown |
|
|