MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 1994-05-13 for VISITOR SPECTACLE 18213 manufactured by Ammerican Allsafe Co..
[8553]
Ear piece on glasses will not stay attached. This has also been encountered with other spectacules rptr has received.
Patient Sequence No: 1, Text Type: D, B5
Report Number | MW1001966 |
MDR Report Key | 13227 |
Date Received | 1994-05-13 |
Date of Event | 1994-04-22 |
Date Added to Maude | 1994-05-16 |
Event Key | 0 |
Report Source Code | Voluntary report |
Manufacturer Link | N |
Number of Patients in Event | 0 |
Adverse Event Flag | 3 |
Product Problem Flag | 3 |
Reprocessed and Reused Flag | 0 |
Reporter Occupation | PHARMACIST |
Health Professional | 3 |
Initial Report to FDA | 0 |
Report to FDA | 0 |
Event Location | 3 |
Single Use | 0 |
Previous Use Code | 0 |
Event Type | 3 |
Type of Report | 3 |
Brand Name | VISITOR SPECTACLE |
Product Code | HQY |
Date Received | 1994-05-13 |
Model Number | 18213 |
Device Availability | N |
Implant Flag | N |
Date Removed | B |
Device Sequence No | 1 |
Device Event Key | 13225 |
Manufacturer | AMMERICAN ALLSAFE CO. |
Manufacturer Address | TONAWANDA NY 14150 US |
Patient Number | Treatment | Outcome | Date |
---|---|---|---|
1 | 0 | 1994-05-13 |