FDA Adverse Event
Malfunction
Summary report: N
CONSTELLATION SURGICAL PROCEDURE PACK
MDR report key: 25197219
·
Received May 18, 2026
Report
- Report Number
- 1644019-2026-02634
- Event Type
- Malfunction
- Date Received
- May 18, 2026
- Date of Event
- April 21, 2026
- Report Date
- May 17, 2026
- Manufacturer
- ALCON RESEARCH, LLC - HOUSTON
- Product Code
- LRO
- UDI-DI
- 00380657516131
- PMA / PMN Number
- K880961
- Removal / Correction Number
- NA
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- BG
- Reporter Occupation
- OTHER HEALTH CARE PROFESSIONAL
- Health Professional
- Yes
Narratives
Additional Manufacturer Narrative · 0
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).
Description of Event or Problem · 0
A OTHER HEALTH CARE PROFESSIONAL REPORTED THAT THE CUTTER WAS POOR CUTTING DURING VITRECTOMY SURGERY. THE SURGERY WAS COMPLETED ON THE SAME DAY BY REPLACING THE PRODUCT WITH NEW CUTTER. THERE WAS NO INFORMATION ABOUT PATIENT IMPACT.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 211033 | CONSTELLATION SURGICAL PROCEDURE PACK | GENERAL SURGERY TRAY (KIT) | LRO | ALCON RESEARCH, LLC - HOUSTON | NA | 1732A3 | 00380657516131 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |