BEUDAMED
    FDA Adverse Event Injury Summary report: N

    RAY-BAN

    MDR report key: 113462 · Received August 11, 1997

    Report

    Report Number
    1643383-1997-00005
    Event Type
    Injury
    Date Received
    August 11, 1997
    Date of Event
    December 8, 1996
    Report Date
    June 23, 1997
    Manufacturer
    BAUSCH & LOMB, INC.
    Product Code
    HQY
    Removal / Correction Number
    NA
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    TX, US
    Reporter Occupation
    PHYSICIAN

    Narratives

    Description of Event or Problem · 1

    CONSUMER ALLEGES AN INJURY REQUIRING MEDICAL TREATMENT, CAUSED BY HIS SUNGLASSES WHEN HE WALKED INTO A CHAIN LINK FENCE WHILE PLAYING TENNIS.

    Devices

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

    Patients

    Seq Age Sex Outcome Treatment
    1 NA Required Intervention