FDA Adverse Event
Injury
Summary report: N
RAY-BAN SUNGLASS
MDR report key: 54110
·
Received December 6, 1996
Report
- Report Number
- 1643383-1996-00003
- Event Type
- Injury
- Date Received
- December 6, 1996
- Date of Event
- October 27, 1996
- Report Date
- December 5, 1996
- Manufacturer
- BAUSCH & LOMB INC.
- Product Code
- HQY
- Removal / Correction Number
- NA
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- CA, US
- Reporter Occupation
- PHYSICIAN
Narratives
Description of Event or Problem · 1
CUSTOMER ALLEGES AN INJURY WHEN HE WAS STRUCK BETWEEN THE EYES WITH A SOCCER BALL AND HE RECEIVED CUTS ON HIS NOSE.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | RAY-BAN SUNGLASS | SUNGLASS | HQY | BAUSCH & LOMB INC. | CATS | NA |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA | Required Intervention |