inforMED
MalfunctionLRO

CONSTELLATION SURGICAL PROCEDURE PACK

Received Jul 21, 2026 · Event occurred Jun 26, 2026

Report 1644019-2026-03895 · MDR key 25885312

Device

Generic name

General Surgery Tray (kit)

Model number

NA

Catalog number

8065753106

Lot number

17YCXW

Product problems

  • Crack
  • Leak/Splash

Patient

NA · Unknown

  • No Clinical Signs, Symptoms or Conditions

Narrative

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).

Description of Event or Problem

A PHYSICIAN REPORTED THAT THE CASSETTE LEAKED DURING VITRECTOMY SURGERY. AFTER REMOVING THE CASSETTE, IT WAS FOUND THAT THE IRRIGATION CHAMBER HAD RUPTURED. THE PROCEDURE WAS COMPLETED ON SAME DAY AFTER REPLACING THE PRODUCT WITH NEW ONE. THERE WAS NO PATIENT IMPACT.