VISITOR SPECTACLE 18213

MAUDE Adverse Event Report

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..

Event Text Entries

[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


MAUDE Entry Details

Report NumberMW1001966
MDR Report Key13227
Date Received1994-05-13
Date of Event1994-04-22
Date Added to Maude1994-05-16
Event Key0
Report Source CodeVoluntary report
Manufacturer LinkN
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag0
Reporter OccupationPHARMACIST
Health Professional3
Initial Report to FDA0
Report to FDA0
Event Location3
Single Use0
Previous Use Code0
Event Type3
Type of Report3

Device Details

Brand NameVISITOR SPECTACLE
Product CodeHQY
Date Received1994-05-13
Model Number18213
Device AvailabilityN
Implant FlagN
Date RemovedB
Device Sequence No1
Device Event Key13225
ManufacturerAMMERICAN ALLSAFE CO.
Manufacturer AddressTONAWANDA NY 14150 US


Patients

Patient NumberTreatmentOutcomeDate
10 1994-05-13

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