| Brand Name | CENTURION Vision System, Accessory, Active Sentry 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
|
|
+1(800)757-9780
|
|
| MDR Report Key | 50815342 |
| Report Number | 2028159-2026-01481 |
| Device Sequence Number | 10697031 |
| Product Code |
HQC
|
| UDI-Device Identifier | 00380657529148 |
| UDI-Public | (01)00380657529148(17)320507(11)220510(10)14NA3L |
| Combination Product (Y/N) | N |
| Initial Reporter Country | CA |
| 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) |
09/18/2026 |
| 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 | 8065752914 |
| Device Lot Number | 14NA3L |
| Was Device Available for Evaluation? |
No
|
| Is the Reporter a Health Professional? |
Yes
|
| Initial Date Received by Manufacturer | 08/26/2026 |
| Initial Report FDA Received Date | 09/18/2026 |
| Date Device Manufactured | 05/10/2022 |
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 |
| Outcome Attributed to Adverse Event |
Other;
|
| Patient Sex | Unknown |
|
|