BEUDAMED
    FDA Adverse Event Other Summary report: N

    ARMANI EXCHANGE

    MDR report key: 5038583 · Received August 25, 2015

    Report

    Report Number
    MW5055809
    Event Type
    Other
    Date Received
    August 25, 2015
    Date of Event
    July 31, 2015
    Report Date
    August 13, 2015
    Manufacturer
    EZCONTACTS USA
    Product Code
    HQG
    Report Source
    Voluntary report
    Reporter Location
    CH
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    INCIDENT DESCRIPTION: PRODUCT - ARMANI EXCHANGE AX3012 EYEGLASSES. (B)(6). DEFECT OF PRODUCT: FRAME OF EYEGLASSES DISTORTED, ONE LEG GOES UP AND ONE LEG GOES DOWN, 15% DEGREE BETWEEN TWO LEGS, FEEL DIZZY AFTER WEARING, DAMAGE TO EYESIGHT. EXPLANATION: I STILL HAVE THE PRODUCT. (B)(4).

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    562373 ARMANI EXCHANGE EYEGLASSES WITH PRESCRIPTIONS HQG EZCONTACTS USA ARMANI EXCHANGE

    Patients

    Seq Age Sex Outcome Treatment
    1