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