REDI-READERS - ANIMAL PRINT * NA

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a 00,04 report with the FDA on 2001-08-14 for REDI-READERS - ANIMAL PRINT * NA manufactured by Ni.

Event Text Entries

[208933] Customer poked self in the eye with the label called a hang tag.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number1045828-2001-00001
MDR Report Key347917
Report Source00,04
Date Received2001-08-14
Date of Report2001-08-13
Date of Event2000-12-29
Date Facility Aware2001-08-08
Report Date2001-08-13
Date Reported to Mfgr2001-08-08
Date Mfgr Received2001-08-08
Date Added to Maude2001-08-22
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag0
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Manufacturer Street3700 COMMERCE PARKWAY
Manufacturer CityMIRAMAR FL 33025
Manufacturer CountryUS
Manufacturer Postal33025
Manufacturer Phone9549869000
Manufacturer G1*
Manufacturer Street*
Manufacturer City*
Manufacturer Country*
Single Use3
Remedial ActionOT
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameREDI-READERS - ANIMAL PRINT
Generic NameREADING GLASSES #5426 +1.50
Product CodeHOI
Date Received2001-08-14
Model Number*
Catalog NumberNA
Lot NumberNA
ID NumberUPC: 718154062262
OperatorOTHER
Device AvailabilityN
Device AgeNO INFO
Device Eval'ed by MfgrR
Implant FlagN
Date Removed*
Device Sequence No1
Device Event Key337239
ManufacturerNI
Manufacturer AddressNI NI * NI
Baseline Brand NameREDI-READERS - ANIMAL PRINT
Baseline Generic NameREADING GLASSES #5426 +1.50
Baseline Model No*
Baseline Catalog NoNA
Baseline IDUPC: 7181540622


Patients

Patient NumberTreatmentOutcomeDate
10 2001-08-14

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