VERITAS VISION SYSTEM
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 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.
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.
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. |