FDA Adverse Event
Malfunction
Summary report: N
EYEGLASSES
MDR report key: 7241006
·
Received February 2, 2018
Report
- Report Number
- MW5075064
- Event Type
- Malfunction
- Date Received
- February 2, 2018
- Date of Event
- February 1, 2018
- Report Date
- February 1, 2018
- Manufacturer
- UNK
- Product Code
- HQG
- Product Problem
- Yes
- Report Source
- Voluntary report
- Reporter Occupation
- PATIENT
Narratives
Description of Event or Problem · 1
I ORDERED TWO SETS OF GLASSES FROM (B)(4). THERE APPARENTLY WAS NO QUALITY CONTROL OF THE GLASSES. THE IMAGE THROUGH BOTH WAS BADLY DISTORTED. I AM CONCERNED ABOUT (B)(4) DISTRIBUTING GLASSES WITH NO QUALITY CONTROL, WHICH COULD HURT PEOPLE'S SIGHT AND MAYBE CAUSE FALLS. I HAVE PHOTOS TAKEN THROUGH THE GLASSES AND WITHOUT THE GLASSES THAT PROVE THE DISTORTION. ZENNI OPTICAL.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 82461 | EYEGLASSES | LENS, PRESCRIPTION EYE GLASSES | HQG | UNK |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 58 YR |