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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: CONTACT LENS SOLUTION; ACCESSORIES, SOFT LENS PRODUCTS

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CONTACT LENS SOLUTION; ACCESSORIES, SOFT LENS PRODUCTS Back to Search Results
Device Problem Improper or Incorrect Procedure or Method (2017)
Patient Problem Insufficient Information (4580)
Event Date 08/11/2021
Event Type  No Answer Provided  
Event Description
Rinsed my contact after i dried it with hydrogen peroxide contact solution.Put into eye without neutralizing it.
 
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Brand Name
CONTACT LENS SOLUTION
Type of Device
ACCESSORIES, SOFT LENS PRODUCTS
MDR Report Key12325539
MDR Text Key267033358
Report NumberMW5103268
Device Sequence Number1
Product Code LPN
Combination Product (y/n)Y
Reporter Country CodeUS
Number of Events Reported1
Summary Report (Y/N)N
Report Source Voluntary
Reporter Occupation Patient
Type of Report Initial
Report Date 08/11/2021
1 Device was Involved in the Event
1 Patient was Involved in the Event
Is this an Adverse Event Report? No
Is this a Product Problem Report? No
Device Operator No Information
Was Device Available for Evaluation? Yes
Initial Date Manufacturer Received Not provided
Initial Date FDA Received08/13/2021
Was Device Evaluated by Manufacturer? No Information
Type of Device Usage N
Patient Sequence Number1
Patient Age53 YR
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