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U.S. Department of Health and Human Services

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

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Alcon Research, LLC - Houston CONSTELLATION Surgical Procedure Pack; General surgery tray (kit) Back to Search Results
Catalog Number 8065751617
Medical Device Problem Code Failure to Cut (2587)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Date of Event 09/02/2026
Type of Reportable Event Malfunction
Event or Problem Description
A nurse reported that the cutter was not cut during vitrectomy surgery.The surgery was completed on the same day by replacing the product with new one.There was no patient impact.
 
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).
 
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Brand Name
CONSTELLATION Surgical Procedure Pack
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 Key50915635
Report Number1644019-2026-04953
Device Sequence Number5778080
Product Code LRO
UDI-Device Identifier00380657516179
UDI-Public(01)00380657516179(17)271130(11)251208(10)17UAW8
Combination Product (Y/N)N
Initial Reporter CountryTH
PMA/510(K) Number
K880961
Number of Events Summarized1
Summary Report (Y/N)N
Reporter Type Manufacturer
Report Source Foreign,Company Representative
Initial Reporter Occupation Non-Healthcare Professional
Type of Report Initial
Report Date (Section B) 09/28/2026
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 Number8065751617
Device Lot Number17UAW8
Was Device Available for Evaluation? No
Is the Reporter a Health Professional? No
Initial Date Received by Manufacturer 09/06/2026
Initial Report FDA Received Date09/28/2026
Date Device Manufactured12/08/2025
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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