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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: Alcon Research, LLC - Irvine Technology Center CENTURION Vision System (Active Sentry); Unit, phacofragmentation

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Alcon Research, LLC - Irvine Technology Center CENTURION Vision System (Active Sentry); Unit, phacofragmentation Back to Search Results
Catalog Number 8065753057
Medical Device Problem Code Improper Flow or Infusion (2954)
Health Effect - Clinical Codes Retinal Tear (2050); Intraocular Pressure Decreased (4468)
Type of Reportable Event Serious Injury
Event or Problem Description
A customer reported that during the cataract surgery with intraocular implantation, ophthalmic system exhibited irrigation stopped when removing the last nuclear quadrant and patient experienced anterior chamber collapsed and hole in posterior capsule.It is unknown whether the procedure was completed.Outcome of the patient was unknown.This report is pertaining to second of two 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).
 
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Brand Name
CENTURION Vision System (Active Sentry)
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
+1(800)757-9780
MDR Report Key50144656
Report Number2028159-2026-01230
Device Sequence Number10687208
Product Code HQC
UDI-Device Identifier00380657530571
UDI-Public(01)00380657530571(17)310330(11)210401(10)13UTEH
Combination Product (Y/N)N
Initial Reporter StateGA
Initial Reporter CountryUS
PMA/510(K) Number
K161794
Number of Events Summarized1
Summary Report (Y/N)N
Reporter Type Manufacturer
Report Source Company Representative
Initial Reporter Occupation Non-Healthcare Professional
Type of Report Initial
Report Date (Section B) 08/05/2026
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 Number8065753057
Device Lot Number13UTEH
Was Device Available for Evaluation? No
Is the Reporter a Health Professional? No
Initial Date Received by Manufacturer 07/16/2026
Initial Report FDA Received Date08/05/2026
Date Device Manufactured04/01/2021
Is This a Single-Use Device that was
Reprocessed and Reused on a Patient? (Y/N)
No
Usage of Device Reuse
Patient Sequence Number1
Outcome Attributed to Adverse Event Other;
Patient SexUnknown
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