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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 8065751765
Medical Device Problem Code Failure to Cut (2587)
Health Effect - Clinical Code Insufficient Information (4580)
Date of Event 08/02/2026
Type of Reportable Event Malfunction
Event or Problem Description
A customer reported that there was a malfunction with cutter (vitrectomy probe) during a vitrectomy surgery.The aspiration function was good.To avoid any delay to the patient, a new cutter from the same lot was immediately opened and used.The replacement cutter functioned properly, and the surgery was completed successfully without further issues.There was no information about any 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
+1(800)757-9780
MDR Report Key50373400
Report Number1644019-2026-04424
Device Sequence Number13216006
Product Code LRO
UDI-Device Identifier00380657517657
UDI-Public(01)00380657517657(17)271130(11)251219(10)17V074
Combination Product (Y/N)N
Initial Reporter CountryBG
PMA/510(K) Number
K880961
Number of Events Summarized1
Summary Report (Y/N)N
Reporter Type Manufacturer
Report Source Foreign,Distributor
Initial Reporter Occupation Non-Healthcare Professional
Type of Report Initial
Report Date (Section B) 08/21/2026
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 Number8065751765
Device Lot Number17V074
Was Device Available for Evaluation? No
Is the Reporter a Health Professional? No
Initial Date Received by Manufacturer Not provided
Initial Report FDA Received Date08/21/2026
Date Device Manufactured12/19/2025
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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