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