FDA Adverse Event Malfunction Summary report: Y

LIQUID OPTICS INTERFACE

MDR report key: 25038255 · Received April 29, 2026

Report

Report Number
3012236936-2026-000117
Event Type
Malfunction
Date Received
April 29, 2026
Report Date
April 30, 2026
Manufacturer
JOHNSON & JOHNSON SURGICAL VISION, INC.
Product Code
OOE
UDI-DI
05050474609761
PMA / PMN Number
K170322
Product Problem
Yes
Report Source
Manufacturer report
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 0

H10 -LIST OF ALL LOT NUMBERS OF THE DEVICES AND QUANTITY: 24084555, 60676872 (X4), 60676877 (X9), UNKNOWN (X2). THREE (3) INVESTIGATIONS WERE COMPLETED DURING THE PERIOD. A REVIEW OF THE RECORDS RELATED TO THE DEVICES THAT INCLUDED LABELING AND TRENDING SHOWED THAT THE DEVICES AND ITS COMPONENTS ALL MET SPECIFICATIONS PRIOR TO BEING RELEASED. NO PRODUCT DEFICIENCY WAS IDENTIFIED. ALL PERTINENT INFORMATION AVAILABLE TO JOHNSON & JOHNSON SURGICAL VISION, INC. HAS BEEN SUBMITTED.

Description of Event or Problem · 0

THIS REPORT SUMMARIZES 16 MALFUNCTION EVENTS. THE EVENT WAS RELATED TO SUCTION LOSS WHILE LASER FIRING. THERE WERE NO PATIENT INJURIES REPORTED ASSOCIATED TO THE EVENTS.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
260317 LIQUID OPTICS INTERFACE OPHTHALMIC FEMTOSECOND LASER OOE JOHNSON & JOHNSON SURGICAL VISION, INC. 0180-1401 05050474609761

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown