FDA Adverse Event Injury Summary report: N

VERITAS VISION SYSTEM

MDR report key: 24007644 · Received January 8, 2026

Report

Report Number
3012236936-2026-000012
Event Type
Injury
Date Received
January 8, 2026
Date of Event
December 11, 2025
Report Date
February 9, 2026
Manufacturer
JOHNSON & JOHNSON SURGICAL VISION, INC.
Product Code
HQC
UDI-DI
5050474700864
PMA / PMN Number
K203060
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
TX, US
Reporter Occupation
PHYSICIAN
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

ADDITIONAL INFORMATION: SECTION A2, AGE AT TIME OF THE EVENT: 79 YEARS. SECTION A2, DATE OF BIRTH: 10/18/1946. SECTION A3, GENDER: FEMALE. SECTION A5, ETHNICITY: NOT HISPANIC/LATINO. SECTION A5, RACE: WHITE. IT WAS REPORTED THAT PATIENT'S LEFT EYE WAS AFFECTED AND SUTURES WERE REQUIRED. PATIENT WAS STABLE POSTOPERATIVELY. NO ADDITIONAL INFORMATION WAS PROVIDED. ALL PERTINENT INFORMATION AVAILABLE TO JOHNSON & JOHNSON SURGICAL VISION, INC HAS BEEN SUBMITTED.

Additional Manufacturer Narrative · 0

SECTION A2 A3, A4 AND A5: UNKNOWN/ NOT PROVIDED. SECTION D4: SERIAL #: UNKNOWN/NOT PROVIDED. SECTION D4: EXPIRATION DATE: UNKNOWN, AS THE SERIAL NUMBER OF THE DEVICE WAS NOT PROVIDED. SECTION D4: UDI #: A COMPLETE UDI # IS UNKNOWN AS PRODUCT SERIAL NUMBER WAS NOT PROVIDED. SECTION D6A: IF IMPLANTED, GIVE DATE: NOT APPLICABLE, AS THE DEVICE IS NOT IMPLANTABLE. SECTION D6B: IF EXPLANTED, GIVE DATE: NOT APPLICABLE, AS THE DEVICE IS NOT IMPLANTABLE. SECTION H3: THE DEVICE WAS NOT RETURNED FOR EVALUATION; THEREFORE, A FAILURE ANALYSIS OF THE COMPLAINT DEVICE CANNOT BE COMPLETED. A REVIEW OF RECORDS INCLUDING DEVICE HISTORY RECORD AND COMPLAINT TRENDING WILL BE PERFORMED. UPON COMPLETION OF THE REVIEW, IF THERE IS ANY FURTHER RELEVANT INFORMATION A SUPPLEMENTAL MEDWATCH WILL BE FILED. SECTION H4: DEVICE MANUFACTURE DATE: UNKNOWN, AS THE SERIAL NUMBER OF THE DEVICE WAS NOT PROVIDED. ALL PERTINENT INFORMATION AVAILABLE TO JOHNSON & JOHNSON SURGICAL VISION, INC HAS BEEN SUBMITTED.

Description of Event or Problem · 0

IT WAS REPORTED THAT DOCTOR EXPERIENCED A WOUND BURN WHILE USING THE VERITAS DEVICE WITH ASPIRATION/IRRIGATION (AI) TUBING. NO ADDITIONAL INFORMATION REGARDING PATIENT IMPACT OR DEVICE MALFUNCTION WAS PROVIDED. NOTE: THIS REPORT IS AGAINST THE VERITAS CONSOLE. A SEPARATE REPORT WILL BE FILED AGAINST THE AI TUBING, HANDPIECE AND TIP.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
62547 VERITAS VISION SYSTEM UNIT, PHACOFRAGMENTATION HQC JOHNSON & JOHNSON SURGICAL VISION, INC. VRT680300 5050474700864

Patients

Seq Age Sex Outcome Treatment
1 79 YR Female Other AI TUBING, HANDPIECE AND TIP.