FDA Adverse Event Injury Summary report: N

STELLA CONTACTS

MDR report key: 17516468 · Received August 11, 2023

Report

Report Number
MW5123417
Event Type
Injury
Date Received
August 11, 2023
Date of Event
March 4, 2013
Report Date
April 3, 2013
Manufacturer
UNKNOWN
Product Code
LPL
Report Source
Voluntary report
Reporter Occupation
OTHER

Narratives

Description of Event or Problem · 0

THIS LETTER IS TO INFORM YOU THAT ALCON HAS RECEIVED INFORMATION THAT REASONABLY SUGGESTS THAT AN ADVERSE EVENT HAS OCCURRED ASSOCIATED WITH PRODUCTS NOT MANUFACTURED BY ALCON. ON (B)(6) 2013, AN EYE CARE PROVIDER REPORTED THAT A PATIENT EXPERIENCED AN ADVERSE EVENT WITH STELLA BRAND CONTACT LENSES. WE ARE UNABLE TO DETERMINE THE MANUFACTURER. THE PRODUCT IS LABELED AS "DISTRIBUTED BY JDH PREMTER SOLUTION INC." THE PATIENT PRESENTED WITH 'SEVERE CORNEAL SCARRING' DIRECTLY RELATED TO A BEAUTY SHOP PURCHASE OF CONTACT LENSES, AND THAT SHE 'MUST HAVE HAD A NASTY INFECTION AND DID NOT GET TREATED'. NO FURTHER RELEVANT MEDICAL INFORMATION WAS PROVIDED, AND NO PATIENT DETAILS WERE PROVIDED. (B)(4). THIS REPORT REFLECTS INFORMATION RECEIVED BY FDA IN THE FORM OF A NOTIFICATION PER 803.22 (B)(2).

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
2176610 STELLA CONTACTS LENSES, SOFT CONTACT, DAILY WEAR LPL UNKNOWN

Patients

Seq Age Sex Outcome Treatment
1 Unknown