CONSTELLATION VISION SYSTEM
Report
- Report Number
- 2028159-2026-00495
- Event Type
- Malfunction
- Date Received
- April 15, 2026
- Date of Event
- March 26, 2026
- Report Date
- May 8, 2026
- Manufacturer
- ALCON RESEARCH, LLC - IRVINE TECHNOLOGY CENTER
- Product Code
- HQC
- UDI-DI
- 00380657511501
- PMA / PMN Number
- K101285
- Removal / Correction Number
- NA
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- CO
- Reporter Occupation
- 003
Narratives
ADDITIONAL INFORMATION IS PROVIDED IN SECTIONS B.5, H.6 AND H.11. UPON FURTHER REVIEW OF ADDITIONAL INFORMATION, THE FDA PRODUCT CODE ¿A141303 - SUCTION FAILURE¿ HAS BEEN RETRACTED FROM THE REPORT AND WAS 'A1413 - SUCTION PROBLEM' ADDED. 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.
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).
ADDITIONAL INFORMATION RECEIVED THAT PRIOR VITRECTOMY SURGERY; THE COMBINED OPHTHALMIC CASSETTE WAS TESTED ON THE OPHTHALMIC SYSTEM AND PASSED WITHOUT ISSUE. HOWEVER, UPON INITIATING USE OF THE OPHTHALMIC VITRECTOMY HANDPIECE, BOTH THE ASPIRATION AND CUTTING FUNCTIONS FAILED FOR SEVERAL TIMES. WHEN ALTERNATIVE VITREOUS PACK CASSETTE WAS TESTED IT PASSED BUT FAILED DURING SURGERY. AFTER FOLLOWING THE VACUUM PARAMETER INSTRUCTIONS PROVIDED BY ENGINEER, THE ISSUE STILL PERSISTED. ON REUSING THE ORIGINAL COMBINED CASSETTE HANDPIECE AND FOLLOWED THE VACUUM PARAMETER INSTRUCTIONS PROVIDED. THIS TIME, THE OPHTHALMIC HANDPIECE FUNCTIONED PROPERLY, ALLOWING US TO BEGIN THE PROCEDURE. THE SURGERY WAS COMPLETED ON THE SAME DAY AND THERE WAS NO PATIENT HARM.
A CUSTOMER REPORTED THAT DURING SURGERY, PROBLEMS WITH VITREOUS ASPIRATION IN AN OPHTHALMIC SYSTEM. PROCEDURE DETAILS AND PATIENT IMPACT HAVE NOT BEEN PROVIDED. ADDITIONAL INFORMATION HAS BEEN REQUESTED BUT IS NOT AVAILABLE AT THE TIME OF THIS REPORT.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 356322 | CONSTELLATION VISION SYSTEM | UNIT, PHACOFRAGMENTATION | HQC | ALCON RESEARCH, LLC - IRVINE TECHNOLOGY CENTER | TABLETOP | NA | 00380657511501 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA | Unknown | CONSTELLATION SURGICAL PROCEDURE PAK. |