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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: Alcon Research, LLC - Houston CENTURION Surgical Procedure Pak; General surgery tray (kit)

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Alcon Research, LLC - Houston CENTURION Surgical Procedure Pak; General surgery tray (kit) Back to Search Results
Catalog Number 8065752212
Medical Device Problem Code Obstruction of Flow (2423)
Health Effect - Clinical Code Insufficient Information (4580)
Date of Event 09/01/2026
Type of Reportable Event Malfunction
Event or Problem Description
A healthcare professional reported that the product could not be used due to a pack blockage during cataract with intraocular lens implantation surgery.The surgery was completed after replacing the product with another one.There was no information about patient impact.This report pertains to the second of the two probes involved in this complaint.
 
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).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 Surgical Procedure Pak
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 Key50898910
Report Number1644019-2026-04935
Device Sequence Number6037606
Product Code LRO
UDI-Device Identifier00380657522125
UDI-Public(01)00380657522125(17)280131(11)260202(10)17WY56
Combination Product (Y/N)N
Initial Reporter CountryKS
PMA/510(K) Number
K880961
Number of Events Summarized1
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) 09/25/2026
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 Number8065752212
Device Lot Number17WY56
Was Device Available for Evaluation? No
Is the Reporter a Health Professional? Yes
Initial Date Received by Manufacturer 09/02/2026
Initial Report FDA Received Date09/25/2026
Date Device Manufactured02/02/2026
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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