BEUDAMED
    FDA Adverse Event Other Summary report: N

    *

    MDR report key: 474180 · Received July 25, 2003

    Report

    Report Number
    MW1029112
    Event Type
    Other
    Date Received
    July 25, 2003
    Report Date
    July 24, 2003
    Manufacturer
    *
    Product Code
    HOI
    Adverse Event
    Yes
    Report Source
    Voluntary report
    Reporter Location
    CA, US
    Reporter Occupation
    PATIENT

    Narratives

    Description of Event or Problem · 1

    PROBLEM STARTED WHEN AN OPTOMETRIST TOOK CONSUMER GLASSES TO CHECK THEM. THE SAME LENSES/GLASSES CAME BACK A COUPLE OF MINUTES LATER AND HAD BEEN ALTERED. SINCE THAT TIME CONSUMER HAS HAD AN IMPOSSIBLE TIME TRYING TO GET A NORMAL PAIR MADE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 * GLASSES HOI * * *

    Patients

    Seq Age Sex Outcome Treatment
    1 47 YR Other