BEUDAMED
    FDA Adverse Event Injury Summary report: N

    RAY-BAN SUNGLASSES

    MDR report key: 41590 · Received October 5, 1996

    Report

    Report Number
    1643383-1996-00001
    Event Type
    Injury
    Date Received
    October 5, 1996
    Date of Event
    March 24, 1996
    Report Date
    October 4, 1996
    Manufacturer
    BAUSCH & LOMB, INC
    Product Code
    HQY
    Removal / Correction Number
    NA
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    AR, US
    Reporter Occupation
    PHYSICIAN

    Narratives

    Description of Event or Problem · 1

    CUSTOMER ALLEGES AN INJURY WHEN A PLUG EJECTED FROM HIS GUN AND BROKE THE LENS OF HIS SUNGLASS.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 RAY-BAN SUNGLASSES SUNGLASS HQY BAUSCH & LOMB, INC OUTDOORSMAN NA

    Patients

    Seq Age Sex Outcome Treatment
    1 28 * Required Intervention