HD400 PRESCRIPTION FRAME

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2015-08-14 for HD400 PRESCRIPTION FRAME manufactured by Viva International Group.

Event Text Entries

[23685739] While driving, the hinge on my (b)(6) prescription glasses frame failed, causing the glasses to slide off my face. This resulted in a serious hazard as my eyesight without correction is not sufficient for driving a vehicle. I was able to safely stop and switch to my prescription sunglasses, but could easily have been involved in an accident. The hinge of the right earpiece failed, causing the earpiece to detach. The hinge has an over-travel mechanism, and the pivot link appears to be under-designed. There is very little material at crucial points, allowing metal fatigue to cause failure in very few hinge actuation cycles. I have the glasses still, and would be glad to send them for evaluation.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report NumberMW5055602
MDR Report Key5018911
Date Received2015-08-14
Date of Report2015-08-14
Date of Event2015-08-13
Date Added to Maude2015-08-20
Event Key0
Report Source CodeVoluntary report
Manufacturer LinkN
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Reporter OccupationPATIENT
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Single Use3
Previous Use Code3
Event Type3
Type of Report0

Device Details

Brand NameHD400 PRESCRIPTION FRAME
Generic NameHD400 PRESCRIPTION FRAME
Product CodeHQG
Date Received2015-08-14
Model NumberHD400
OperatorLAY USER/PATIENT
Device Availability*
Device Eval'ed by Mfgr*
Device Sequence No1
Device Event Key0
ManufacturerVIVA INTERNATIONAL GROUP


Patients

Patient NumberTreatmentOutcomeDate
101. Life Threatening 2015-08-14

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