BEUDAMED
    FDA Adverse Event Injury Summary report: N

    RAY-BAN

    MDR report key: 112685 · Received August 11, 1997

    Report

    Report Number
    1643383-1997-00007
    Event Type
    Injury
    Date Received
    August 11, 1997
    Date of Event
    March 22, 1997
    Report Date
    July 21, 1997
    Manufacturer
    BAUSCH & LOMB, INC.
    Product Code
    HQY
    Removal / Correction Number
    NA
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    CA, US
    Reporter Occupation
    PHYSICIAN

    Narratives

    Description of Event or Problem · 1

    CONSUMER ALLEGES AN INJURY REQUIRING MEDICAL TREATMENT, CAUSED BY HER SUNGLASSES WHEN HER HORSE REARED AND HIT HER WITH HIS HEAD.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 RAY-BAN SUNGLASS HQY BAUSCH & LOMB, INC. WAYFARER NA

    Patients

    Seq Age Sex Outcome Treatment
    1 NA Required Intervention