BEUDAMED
    FDA Adverse Event Other Summary report: N

    CRAYOLA KIDS

    MDR report key: 143538 · Received January 13, 1998

    Report

    Report Number
    MW1012778
    Event Type
    Other
    Date Received
    January 13, 1998
    Date of Event
    January 12, 1998
    Report Date
    January 13, 1998
    Manufacturer
    UNK
    Product Code
    HQZ
    Adverse Event
    Yes
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    PA, US
    Reporter Occupation
    PATIENT FAMILY MEMBER OR FRIEND

    Narratives

    Description of Event or Problem · 1

    CHILD TRIPPED AND FELL ON FRONT STEPS OF HOUSE WHILE WEARING GLASSES. GLASSES BROKE AT INNER HINGE BETWEEN EYE PIECE AND EAR PIECE CREATING JAGGED EDGES WHICH LACERATED THE CHILDS FACE FROM THE OUTER CORNER OF THE EYE TO APPROX 1 INCH DOWN THE CHEEK. WOUND COULD NOT BE SUTURED AND MD BELIEVES A SCAR WILL RESULT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 CRAYOLA KIDS CHILDREN'S EYEWEAR HQZ UNK CORY BLU 125 *

    Patients

    Seq Age Sex Outcome Treatment
    1 26 MO Other