FDA Adverse Event Other Summary report: N

CVS DISINFECTING LENS CARE SOLUTION

MDR report key: 2013066 · Received March 1, 2011

Report

Report Number
2026940-2011-00001
Event Type
Other
Date Received
March 1, 2011
Date of Event
August 7, 2010
Report Date
August 16, 2010
Manufacturer
KC PHARMACEUTICALS, INC.
Product Code
LPN
PMA / PMN Number
K010559
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
RI, US
Reporter Occupation
RISK MANAGER

Narratives

Description of Event or Problem · 1

ONE PATIENT, AS DIAGNOSED BY PHYSICIAN, EXPERIENCED CORNEAL ABRASION IN HER LEFT EYE AFTER USING MEDICAL DEVICE, CVS DISINFECTING LENS CARE SOLUTION. PATIENT WAS PRESCRIBED TOBREX ANTI-BIOTIC (MEDICAL RECORDS ATTACHED).

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 CVS DISINFECTING LENS CARE SOLUTION LPN KC PHARMACEUTICALS, INC. 94943

Patients

Seq Age Sex Outcome Treatment
1 44 YR Other