UNK

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2000-09-01 for UNK manufactured by Unk.

Event Text Entries

[20767148] Rptr purchased cheap, chinese-made non prescription reading glasses, white metal frames, and wore them briefly 2 hrs. Awoke the following morning with viscious, livid welts under each eye where the eyeglass frame brushed the cheek. Rptr did not associate this occurrence with the eyeglasses initially. Rptr again wore the eyeglasses briefly and within 90 mins or so, realized skin was blistering. Rptr suffers no known allergies and has never experienced a similar occurrence. The adverse reaction was so rapid that rptr offers this info for fda's persual.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report NumberMW1019837
MDR Report Key294631
Date Received2000-09-01
Date of Report2000-09-01
Date of Event2000-08-30
Date Added to Maude2000-09-11
Event Key0
Report Source CodeVoluntary report
Manufacturer LinkN
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag0
Reporter OccupationPATIENT
Health Professional3
Initial Report to FDA0
Report to FDA0
Event Location3
Single Use0
Previous Use Code0
Event Type3
Type of Report3

Device Details

Brand NameUNK
Generic NameREADING GLASSES
Product CodeHOI
Date Received2000-09-01
Model NumberUNK
Catalog NumberUNK
Lot NumberUNK
ID NumberUNK
OperatorLAY USER/PATIENT
Device AvailabilityY
Implant FlagN
Date Removed*
Device Sequence No1
Device Event Key285188
ManufacturerUNK
Manufacturer AddressUNK UNK *


Patients

Patient NumberTreatmentOutcomeDate
101. Other 2000-09-01

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