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.
[208933]
Customer poked self in the eye with the label called a hang tag.
Patient Sequence No: 1, Text Type: D, B5
Report Number | 1045828-2001-00001 |
MDR Report Key | 347917 |
Report Source | 00,04 |
Date Received | 2001-08-14 |
Date of Report | 2001-08-13 |
Date of Event | 2000-12-29 |
Date Facility Aware | 2001-08-08 |
Report Date | 2001-08-13 |
Date Reported to Mfgr | 2001-08-08 |
Date Mfgr Received | 2001-08-08 |
Date Added to Maude | 2001-08-22 |
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 | 3 |
Manufacturer Street | 3700 COMMERCE PARKWAY |
Manufacturer City | MIRAMAR FL 33025 |
Manufacturer Country | US |
Manufacturer Postal | 33025 |
Manufacturer Phone | 9549869000 |
Manufacturer G1 | * |
Manufacturer Street | * |
Manufacturer City | * |
Manufacturer Country | * |
Single Use | 3 |
Remedial Action | OT |
Previous Use Code | 3 |
Event Type | 3 |
Type of Report | 3 |
Brand Name | REDI-READERS - ANIMAL PRINT |
Generic Name | READING GLASSES #5426 +1.50 |
Product Code | HOI |
Date Received | 2001-08-14 |
Model Number | * |
Catalog Number | NA |
Lot Number | NA |
ID Number | UPC: 718154062262 |
Operator | OTHER |
Device Availability | N |
Device Age | NO INFO |
Device Eval'ed by Mfgr | R |
Implant Flag | N |
Date Removed | * |
Device Sequence No | 1 |
Device Event Key | 337239 |
Manufacturer | NI |
Manufacturer Address | NI NI * NI |
Baseline Brand Name | REDI-READERS - ANIMAL PRINT |
Baseline Generic Name | READING GLASSES #5426 +1.50 |
Baseline Model No | * |
Baseline Catalog No | NA |
Baseline ID | UPC: 7181540622 |
Patient Number | Treatment | Outcome | Date |
---|---|---|---|
1 | 0 | 2001-08-14 |