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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; Unit, phacofragmentation

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Alcon Research, LLC - Irvine Technology Center CENTURION Vision System; Unit, phacofragmentation Back to Search Results
Catalog Number 8065751763
Medical Device Problem Code Adverse Event Without Identified Device or Use Problem (2993)
Health Effect - Clinical Code Endophthalmitis (1835)
Type of Reportable Event Serious Injury
Event or Problem Description
A physician reported that patient developed endophthalmitis postoperatively.Procedure details and the patient¿s clinical outcome were not reported.Additional information has been requested but none has been provided to date.
 
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.A sample is available that has not yet been received at manufacturing for evaluation.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.
 
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Brand Name
CENTURION Vision System
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 Key50784609
Report Number2028159-2026-01468
Device Sequence Number10529599
Product Code HQC
UDI-Device Identifier00380657517633
UDI-Public(01)00380657517633(17)250423(11)150428(10)NA
Combination Product (Y/N)N
Initial Reporter CountryJA
PMA/510(K) Number
K121555
Number of Events Summarized1
Summary Report (Y/N)N
Reporter Type Manufacturer
Report Source Foreign,Health Professional
Initial Reporter Occupation Physician
Type of Report Initial
Report Date (Section B) 09/16/2026
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 Expiration Date04/23/2025
Device Catalogue Number8065751763
Was Device Available for Evaluation? Yes
Is the Reporter a Health Professional? Yes
Initial Date Received by Manufacturer 08/21/2026
Initial Report FDA Received Date09/16/2026
Was Device Evaluated by Manufacturer? (Y/N) No
Date Device Manufactured04/28/2015
Is This a Single-Use Device that was
Reprocessed and Reused on a Patient? (Y/N)
No
Usage of Device Reuse
Patient Sequence Number1
Concomitant Medical Products
and Therapy/Usage Dates
OZIL Torsional Handpiece
Outcome Attributed to Adverse Event Other;
Patient SexUnknown
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