MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a 00 report with the FDA on 2003-05-15 for MAGNIVISION ULTRALIGHTS NA manufactured by Magnivision, Inc..
[273872]
Consumer poked themselves in the eye with co's paper price tag.
Patient Sequence No: 1, Text Type: D, B5
| Report Number | 1045828-2003-00002 |
| MDR Report Key | 460531 |
| Report Source | 00 |
| Date Received | 2003-05-15 |
| Date of Report | 2003-04-11 |
| Date of Event | 2003-04-05 |
| Date Facility Aware | 2003-04-09 |
| Report Date | 2003-04-11 |
| Date Reported to Mfgr | 2003-04-09 |
| Date Mfgr Received | 2003-04-09 |
| Date Added to Maude | 2003-05-20 |
| 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 | RC |
| Previous Use Code | 3 |
| Event Type | 3 |
| Type of Report | 3 |
| Brand Name | MAGNIVISION |
| Generic Name | READING GLASSES |
| Product Code | HOI |
| Date Received | 2003-05-15 |
| Model Number | ULTRALIGHTS |
| Catalog Number | NA |
| Lot Number | NA |
| ID Number | NA |
| 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 | 449478 |
| Manufacturer | MAGNIVISION, INC. |
| Manufacturer Address | 3700 COMMERCE PKWY. MIRAMAR * |
| Baseline Brand Name | MAGNIVISION |
| Baseline Generic Name | READING GLASSES |
| Baseline Model No | ULTRALIGHTS |
| Baseline Catalog No | NA |
| Baseline ID | NA |
| Patient Number | Treatment | Outcome | Date |
|---|---|---|---|
| 1 | 0 | 1. Required No Informationntervention | 2003-05-15 |