| Brand Name | CONSTELLATION 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 Key | 50851427 |
| Report Number | 2028159-2026-01499 |
| Device Sequence Number | 21345508 |
| Product Code |
HQC
|
| UDI-Device Identifier | 00380657530410 |
| UDI-Public | (01)00380657530410(17)330217(11)230220(10)15CXJX |
| Combination Product (Y/N) | N |
| Initial Reporter Country | KS |
| PMA/510(K) Number | K101285 |
| Number of Events Summarized | 1 |
| Summary Report (Y/N) | N |
| Reporter Type |
Manufacturer
|
| Report Source |
Foreign,Health Professional,Company Representative |
| Initial Reporter Occupation |
Other Health Care Professional
|
| Type of Report
| Initial |
| Report Date (Section B) |
09/22/2026 |
| 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 | 8065753041 |
| Device Lot Number | 15CXJX |
| Was Device Available for Evaluation? |
No
|
| Is the Reporter a Health Professional? |
Yes
|
| Initial Date Received by Manufacturer | 09/01/2026 |
| Initial Report FDA Received Date | 09/22/2026 |
| Date Device Manufactured | 02/20/2023 |
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 |