BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    EDITOR'S CHOICE

    MDR report key: 490066 · Received October 4, 2003

    Report

    Report Number
    MW1029750
    Event Type
    Malfunction
    Date Received
    October 4, 2003
    Date of Event
    October 2, 2003
    Report Date
    October 4, 2003
    Manufacturer
    UNK
    Product Code
    HOI
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    CA, US
    Reporter Occupation
    PATIENT

    Narratives

    Description of Event or Problem · 1

    THERE IS NO INFO OR ADDRESS ON A READING GLASS THAT WAS PURCHASED AT A BIG LOTS STORE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 EDITOR'S CHOICE READING GLASSES HOI UNK * *

    Patients

    Seq Age Sex Outcome Treatment
    1 *