MAUDE Adverse Event Report: ALCON RESEARCH, LLC - IRVINE TECHNOLOGY CENTER UNITY VCS/CS, ACCESSORY, UNITY 4D PHACO HANDPIECE; UNIT, PHACOFRAGMENTATION

Catalog Number	8065000315
Medical Device Problem Code	Output below Specifications (3004)
Health Effect - Clinical Codes	Corneal Edema (1791); Blurred Vision (2137)
Date of Event	04/28/2026
Type of Reportable Event	Serious Injury
Event or Problem Description
A physician reported that during cataract surgery on the left eye using an ophthalmic system and ophthalmic handpiece, the handpiece underperformed during nucleus sculpting.The physician observed that it created uneven, fluffy, and less efficient grooves, making nuclear disassembly more challenging and less predictable.The physician also reported repeated observations of excessive posterior capsule surge creating an unstable intraocular environment.The surgeon stated that system settings require optimization and that parameters were being adjusted to determine the optimal settings.Postoperatively, the patient experienced corneal edema, poor vision, and delayed visual rehabilitation in the eye operated on using the ophthalmic system compared with the fellow eye underwent surgery with another ophthalmic system.The patient was treated with isolde salt solution directly postoperative to expedite recovery from corneal edema and to reduce the extent.The patient subsequently achieved improved vision, and no permanent corneal issues were reported.The patient's condition was resolved.This report pertains to the ophthalmic handpiece involved in the reported event and represents three of eleven reports and three of ten patients from the same facility.
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).H.10 reflects all related report numbers associated with this product event that have been submitted at this time.

• Brand Name: UNITY VCS/CS, ACCESSORY, UNITY 4D PHACO 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: 25857679
• Report Number: 2028159-2026-01088
• Device Sequence Number: 17506948
• Product Code: HQC
• UDI-Device Identifier: 00380650003157
• UDI-Public: (01)00380650003157(17)351006(11)251008(10)17NTJD
• Combination Product (Y/N): N
• Initial Reporter Country: US
• PMA/510(K) Number: K233876
• Number of Events Summarized: 1
• Summary Report (Y/N): N
• Reporter Type: Manufacturer
• Report Source: Foreign,Health Professional,Company Representative
• Initial Reporter Occupation: Physician
• Type of Report: Initial,Followup
• Report Date (Section B): 08/10/2026

1 Device was Involved in the Event

1 Patient was Involved in the Event

• Is this an Adverse Event Report?: Yes
• Is this a Product Problem Report?: No
• Operator of Device: Health Professional
• Device Catalogue Number: 8065000315
• Device Lot Number: 17NTJD
• Was Device Available for Evaluation?: No
• Is the Reporter a Health Professional?: No
• Was the Report Sent to FDA?: No
• Type of Report(Section G): Thirty-Day
• Initial Date Received by Manufacturer: 06/23/2026
• Supplement Date Received by Manufacturer: 07/17/2026
• Initial Report FDA Received Date: 07/17/2026
• Supplement Report FDA Received Date: 08/10/2026
• Date Device Manufactured: 10/08/2025
• 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
• Concomitant Medical Products and Therapy/Usage Dates: UNITY VCS CONSOLE
• Outcome Attributed to Adverse Event: Required Intervention; Other
• Patient Age: 60 YR
• Patient Sex: Unknown