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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: ST. SHINE OPTICAL CO., LTD. CONTACTS; LENSES, SOFT CONTACT, DAILY WEAR

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ST. SHINE OPTICAL CO., LTD. CONTACTS; LENSES, SOFT CONTACT, DAILY WEAR Back to Search Results
Device Problem Manufacturing, Packaging or Shipping Problem (2975)
Patient Problem Visual Impairment (2138)
Event Date 07/30/2021
Event Type  Injury  
Event Description
Hubble contacts has failed to deliver my contacts for over 30 days, and now i've run out of contacts and cannot legally drive.They charged me again for this month, when i still haven't received last months.I can't leave my house because i don't have any contacts.Fda safety report id # (b)(4).
 
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Brand Name
CONTACTS
Type of Device
LENSES, SOFT CONTACT, DAILY WEAR
Manufacturer (Section D)
ST. SHINE OPTICAL CO., LTD.
MDR Report Key12266826
MDR Text Key265000771
Report NumberMW5102944
Device Sequence Number1
Product Code LPL
Reporter Country CodeUS
Number of Events Reported1
Summary Report (Y/N)N
Report Source Voluntary
Reporter Occupation Patient
Type of Report Initial
Report Date 07/30/2021
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? Yes
Device Operator No Information
Was Device Available for Evaluation? No
Initial Date Manufacturer Received Not provided
Initial Date FDA Received08/02/2021
Was Device Evaluated by Manufacturer? No Information
Type of Device Usage N
Patient Sequence Number1
Patient Outcome(s) Required Intervention;
Patient Age28 YR
Patient Weight83
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