CALVIN KLEIN BLACK LADIES' SUNGLASSES R696S 001 58 16140 #3

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2019-04-08 for CALVIN KLEIN BLACK LADIES' SUNGLASSES R696S 001 58 16140 #3 manufactured by Unknown.

Event Text Entries

[141574335] Sunglasses noted to emit a very strong chemical smell after purchase. The smell is so powerful that i am unable to wear them. This is the second pair of sunglasses that i have purchased that has this pungent chemical smell. The chemicals used are irritating when breathed in. Estimate date of purchase (b)(6) 2018. (b)(4).
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report NumberMW5085706
MDR Report Key8497226
Date Received2019-04-08
Date of Report2019-03-07
Date of Event2019-02-01
Date Added to Maude2019-04-09
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 NameCALVIN KLEIN BLACK LADIES' SUNGLASSES
Generic NameSUNGLASSES
Product CodeHQY
Date Received2019-04-08
Model NumberR696S 001 58 16140 #3
Device AvailabilityY
Device Eval'ed by MfgrI
Device Sequence No1
Device Event Key0
ManufacturerUNKNOWN


Patients

Patient NumberTreatmentOutcomeDate
10 2019-04-08

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