| Brand Name | CENTURION VISION SYSTEM, ACCESSORY, CENTURION OZIL HANDPIECE |
| 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 | 25716855 |
| Report Number | 2028159-2026-00983 |
| Device Sequence Number | 20113319 |
| Product Code |
HQC
|
| UDI-Device Identifier | 00380657517619 |
| UDI-Public | (01)00380657517619(17)350722(11)250724(10)17JX1T |
| 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,Health Professional,Company Representative |
| Initial Reporter Occupation |
Other Health Care Professional
|
| Type of Report
| Initial |
| 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 | 8065751761 |
| Device Lot Number | 17JX1T |
| Was Device Available for Evaluation? |
No
|
| Is the Reporter a Health Professional? |
Yes
|
| Type of Report(Section G) | Initial |
| Initial Date Received by Manufacturer | 06/11/2026 |
| Initial 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 |
Reuse
|
| Patient Sequence Number | 1 |
| Patient Sex | Unknown |
|
|