| 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 Key | 50581735 |
| Report Number | 2028159-2026-01377 |
| Device Sequence Number | 13234382 |
| Product Code |
HQC
|
| UDI-Device Identifier | 00380657530571 |
| UDI-Public | (01)00380657530571(17)320826(11)220829(10)150D5A |
| Combination Product (Y/N) | N |
| Initial Reporter Country | JA |
| PMA/510(K) Number | K161794 |
| 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 |
| Report Date (Section B) |
09/03/2026 |
| 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 | 8065753057 |
| Device Lot Number | 150D5A |
| Was Device Available for Evaluation? |
No
|
| Is the Reporter a Health Professional? |
Yes
|
| Initial Date Received by Manufacturer | Not provided |
| Initial Report FDA Received Date | 09/03/2026 |
| Date Device Manufactured | 08/29/2022 |
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 |
|
|