FDA Adverse Event Injury Summary report: N

STELLARIS VISION ENHANCEMENT SYSTEM

MDR report key: 24270146 · Received February 5, 2026

Report

Report Number
0001920664-2026-00015
Event Type
Injury
Date Received
February 5, 2026
Date of Event
January 14, 2026
Report Date
May 8, 2026
Manufacturer
BAUSCH + LOMB
Product Code
HQC
UDI-DI
00757770480678
PMA / PMN Number
K063331
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
FR
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

THE ROOT CAUSE WAS DETERMINED TO BE A COMPONENT ISSUE. THE SYSTEM, MANUFACTURED IN 2012, IS WELL INTO ITS SERVICE LIFE, AND THE FAILURE IS CONSISTENT WITH AGE-RELATED WEAR OVER TIME. THE LOT HISTORY, TREND ANALYSIS, RISK ANALYSIS AND/OR DIRECTIONS FOR USE REVIEW WERE CONSIDERED ACCEPTABLE, WITH THE PRODUCT PERFORMING WITHIN ANTICIPATED RATES. THE INVESTIGATION IS COMPLETE. CORRECTION TO G4: 510K FROM K101325 TO K063331.

Additional Manufacturer Narrative · 0

THE INVESTIGATION IS ONGOING.

Additional Manufacturer Narrative · 0

THE SERVO VALVE IS FAULTY. THE INVESTIGATION IS ONGOING.

Description of Event or Problem · 0

THE USER FACILITY IN FRANCE REPORTED THAT DURING A VITRECTOMY, THE IRRIGATION WAS TOO LOW TO CONTINUE. IT WAS VERY LOW EVEN WHEN THEY SET THE IV POLE HIGHER. THE SURGEON FELT UNCOMFORTABLE AND DID NOT PROPERLY END THE VITRECTOMY SURGERY. THE PROCEDURE WAS ABORTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
440184 STELLARIS VISION ENHANCEMENT SYSTEM UNIT, PHACOFRAGMENTATION HQC BAUSCH + LOMB BL11110 00757770480678

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown BL2310 (B)(6)