BEUDAMED
    FDA Adverse Event Summary report: N

    EYE GLASS

    MDR report key: 10511 · Received November 15, 1993

    Report

    Report Number
    MW4000001
    Date Received
    November 15, 1993
    Manufacturer
    CORRECT OPTICAL
    Product Code
    HOI
    Report Source
    Voluntary report
    Reporter Location
    KY, US
    Reporter Occupation
    PATIENT

    Narratives

    Description of Event or Problem · 1

    GLASS LENS OF EYEGLASSES SHATTERED AND THREW GLASS INTO PT'S EYE. OWNER OF OPTICAL CO BLAMED THIS ON A HARDENER WHICH HE HAS TO PUT ON LENSES WHICH PUTS STRESS ON GLASS.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 EYE GLASS HOI CORRECT OPTICAL

    Patients

    Seq Age Sex Outcome Treatment
    1 *