| Brand Name | VERITAS VISION SYSTEM |
| Common Device Name | Unit, Phacofragmentation |
| Manufacturer (Section D) |
| Johnson & Johnson Surgical Vision, Inc. |
| 31 technology drive |
| irvine CA 92618 |
|
| Manufacturer Contact |
|
somyata
nagpal
|
| 31 technology drive |
| irvine, CA 92618
|
|
+1(714)247-8552
|
|
| MDR Report Key | 50091987 |
| Report Number | 3012236936-2026-000203 |
| Device Sequence Number | 9913296 |
| Product Code |
HQC
|
| UDI-Device Identifier | 05050474700864 |
| UDI-Public | (01)05050474700864 |
| Combination Product (Y/N) | N |
| Initial Reporter Country | UK |
| PMA/510(K) Number | K203060 |
| Number of Events Summarized | 1 |
| Summary Report (Y/N) | N |
| Serviced by Third Party (Y/N) | N |
| Reporter Type |
Manufacturer
|
| Report Source |
Foreign,Health Professional,User Facility |
| Initial Reporter Occupation |
Administrator/Supervisor
|
| Type of Report
| Initial |
| Report Date (Section B) |
07/30/2026 |
| 1 Device was Involved in the Event |
|
| 1 Patient was Involved in the Event |
|
| Is this an Adverse Event Report? |
No
|
| Is this a Product Problem Report? |
Yes
|
| Operator of Device |
Health Professional
|
| Device Model Number | VRT680300 |
| Device Catalogue Number | VRT680300 |
| Was Device Available for Evaluation? |
No
|
| Is the Reporter a Health Professional? |
No
|
| Was the Report Sent to FDA? |
No
|
| Type of Report(Section G) | Thirty-Day |
| Initial Date Received by Manufacturer | 07/06/2026 |
| Initial Report FDA Received Date | 07/30/2026 |
| Was Device Evaluated by Manufacturer? (Y/N) |
Yes
|
| Is the Device Labeled for Single Use? (Y/N) |
No
|
Is This a Single-Use Device that was Reprocessed and Reused on a Patient? (Y/N) |
No
|
| Usage of Device |
Reuse
|
| Patient Sequence Number | 1 |
| Patient Sex | Unknown |
|
|