"VARILUX" BRAND LENS *

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2001-04-11 for "VARILUX" BRAND LENS * manufactured by Dr. David Kyle.

Event Text Entries

[18157257] The sides of these brand lenses are prisms, not lenses. Only the center strip is ground lenses. Therefore everything to the (slightest) side appears to be airborn and furry.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report NumberMW1021620
MDR Report Key326999
Date Received2001-04-11
Date of Event2001-01-01
Date Added to Maude2001-04-18
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 Name"VARILUX" BRAND LENS
Generic NameGLASSES-PRESCRIPTION
Product CodeHQG
Date Received2001-04-11
Model Number*
Catalog Number*
Lot Number*
ID Number*
OperatorLAY USER/PATIENT
Device AvailabilityY
Implant FlagN
Date Removed*
Device Sequence No1
Device Event Key316407
ManufacturerDR. DAVID KYLE
Manufacturer Address1055 W BARAGA MARQUETTE MI 49855 US


Patients

Patient NumberTreatmentOutcomeDate
101. Life Threatening; 2. Required No Informationntervention; 3. Deathisabilit 2001-04-11

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