inforMED
MalfunctionLRO

CONSTELLATION SURGICAL PROCEDURE PACK

Received Jul 22, 2026 · Event occurred Jul 1, 2026

Report 1644019-2026-03959 · MDR key 25903492

Device

Generic name

General Surgery Tray (kit)

Model number

NA

Catalog number

8065751058

Lot number

176WTW

Product problems

  • Improper Flow or Infusion

Patient

NA · Unknown

  • No Clinical Signs, Symptoms or Conditions

Narrative

Description of Event or Problem

A PHYSICIAN REPORTED THAT NO AIR ENTERED DURING THE AIR-LIQUID EXCHANGE DURING VITRECTOMY SURGERY. THE PROCEDURE WAS COMPLETED ON THE SAME DAY, AFTER REPLACING THE PRODUCT WITH ANOTHER ONE. THERE WAS NO PATIENT IMPACT.

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).