MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a 00 report with the FDA on 1998-08-26 for VISUAL HEALTHWEAR INSTANT SUNGLASSES REGULAR manufactured by Yorktowne Optical Co., Inc. Midlantic Accessories Co..
[98824]
Consumer suffered corneal abrasion after inserting onto eyeglasses. The reported incident occurred in aruba, but the sunglasses were purchased in manchester, connecticut at a store.
Patient Sequence No: 1, Text Type: D, B5
Report Number | 2513853-1998-00001 |
MDR Report Key | 184346 |
Report Source | 00 |
Date Received | 1998-08-26 |
Date of Report | 1998-08-03 |
Date of Event | 1995-09-15 |
Date Mfgr Received | 1998-07-31 |
Date Added to Maude | 1998-08-31 |
Event Key | 0 |
Report Source Code | Manufacturer report |
Manufacturer Link | Y |
Number of Patients in Event | 0 |
Adverse Event Flag | 3 |
Product Problem Flag | 3 |
Reprocessed and Reused Flag | 0 |
Health Professional | 3 |
Initial Report to FDA | 3 |
Report to FDA | 3 |
Event Location | 0 |
Single Use | 3 |
Previous Use Code | 3 |
Removal Correction Number | NA |
Event Type | 3 |
Type of Report | 3 |
Brand Name | VISUAL HEALTHWEAR INSTANT SUNGLASSES |
Generic Name | SUNGLASSES |
Product Code | HQY |
Date Received | 1998-08-26 |
Model Number | REGULAR |
Catalog Number | NI |
Lot Number | NI |
ID Number | * |
Operator | LAY USER/PATIENT |
Device Availability | N |
Device Eval'ed by Mfgr | R |
Implant Flag | N |
Date Removed | A |
Device Sequence No | 1 |
Device Event Key | 179195 |
Manufacturer | YORKTOWNE OPTICAL CO., INC. MIDLANTIC ACCESSORIES CO. |
Manufacturer Address | P.O. BOX 276 EMIGSVILLE PA 173180276 US |
Patient Number | Treatment | Outcome | Date |
---|---|---|---|
1 | 0 | 1. Required No Informationntervention | 1998-08-26 |