BEUDAMED
    FDA Adverse Event Injury Summary report: N

    OUR FAMILY MUTLI-PURPOSE SOLUTION

    MDR report key: 321712 · Received March 19, 2001

    Report

    Report Number
    1419377-2001-00001
    Event Type
    Injury
    Date Received
    March 19, 2001
    Date of Event
    February 16, 2001
    Report Date
    March 19, 2001
    Manufacturer
    AUTOMATIC LIQUID PACKAGING, INC.
    Product Code
    LPN
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    IL, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    CONSUMER, A CONTACT WEARER, USED MULTI-PURPOSE SOLUTION AND CLAIMED THEY BURNED THEIR CORNEAS USING THIS SOLUTION. NORMALLY USES ANOTHER BRAND OF SOLUTION, BUT TRIED OUR FAMILY MULTI-PURPOSE FOR THE FIRST TIME. COULD NOT SEE FOR SIX HOURS, BUT AFTER SHOT OF CORTIZONE/CANALOG BY EMERGENCY HOSPITAL PERSONNEL, THE CUSTOMER COULD SEE AGAIN.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    12072 OUR FAMILY MUTLI-PURPOSE SOLUTION ALL-IN-ONE CONTACT SOLUTION LPN AUTOMATIC LIQUID PACKAGING, INC. NA OP037

    Patients

    Seq Age Sex Outcome Treatment
    1 NA Hospitalization