FDA Adverse Event
Injury
Summary report: N
RENU (UNKNOWN TYPE)
MDR report key: 2872135
·
Received December 4, 2012
Report
- Report Number
- 1313525-2012-00038
- Event Type
- Injury
- Date Received
- December 4, 2012
- Date of Event
- October 28, 2010
- Report Date
- November 8, 2012
- Manufacturer
- BAUSCH & LOMB
- Product Code
- LPL
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- NJ, US
- Reporter Occupation
- NOT APPLICABLE
Narratives
Additional Manufacturer Narrative · 1
THE PRODUCT WAS NOT RETURNED FOR EVALUATION. THE LOT NUMBER AND THE PRODUCT TYPE ARE UNKNOWN. MEDICAL DOCUMENTATION WAS NOT RECEIVED. BASED ON ALL INFORMATION, NO CAUSAL FACTORS CAN BE DETERMINED AND NO CONCLUSION CAN BE DRAWN.
Description of Event or Problem · 1
RECEIVED COMPLAINT ALLEGING PLAINTIFF USED "RENU EYE SOLUTION" AND WAS CAUSED TO SUSTAIN SERIOUS AND PERMANENT INJURIES THAT INCLUDE, BUT ARE NOT LIMITED TO, AN ULCER TO THE RIGHT EYE AND IMPAIRED VISION. MEDICAL DOCUMENTATION HAS NOT BEEN RECEIVED AND NO FURTHER INFORMATION WAS PROVIDED.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | RENU (UNKNOWN TYPE) | NONE | LPL | BAUSCH & LOMB |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | Required Intervention |