FDA Adverse Event
Injury
Summary report: N
RITE AID CLEANING AND DISINFECTING LENS CARE SYSTEM
MDR report key: 3197309
·
Received June 28, 2013
Report
- Report Number
- 2026940-2013-00004
- Event Type
- Injury
- Date Received
- June 28, 2013
- Date of Event
- June 17, 2013
- Report Date
- July 1, 2013
- Manufacturer
- KC PHARMACEUTICALS, INC.
- Product Code
- LPN
- PMA / PMN Number
- K010559
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- PA, US
- Reporter Occupation
- OTHER
Narratives
Additional Manufacturer Narrative · 1
THE DATE OF EVENT, (B)(6) 2013, IS THE BEST ESTIMATE SINCE THE ORIGINAL DATE OF EVENT COULD NOT BE ACQUIRED. COMPLAINT SAMPLE COULD NOT BE RETRIEVED.
Description of Event or Problem · 1
ONE (1) PATIENT ((B)(6)) STATES THAT SHE EXPERIENCED A BURNING SENSATION IN HER EYES AFTER USING A MEDICAL DEVICE, RITE AID CLEANING AND DISINFECTING LENS CARE SYSTEM. THE PATIENT 'S MEDICAL RECORD IS NOT AVAILABLE.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 296387 | RITE AID CLEANING AND DISINFECTING LENS CARE SYSTEM | LENS CARE SOLUTION | LPN | KC PHARMACEUTICALS, INC. |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | Other |