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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: ST. SHINE OPTICAL CO., LTD. HUBBLE; SOFT CONTACT LENS

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ST. SHINE OPTICAL CO., LTD. HUBBLE; SOFT CONTACT LENS Back to Search Results
Lot Number UNKNOWN
Device Problem Adverse Event Without Identified Device or Use Problem (2993)
Patient Problems Corneal Ulcer (1796); Irritation (1941); Keratitis (1944); Blurred Vision (2137)
Event Date 05/17/2018
Event Type  Injury  
Manufacturer Narrative
The lot number is unknown and the products are not made available for evaluation at this time.The information about patient and initial reporter as well as other information required to submit was not provided.If the additional information is received, the follow-up report will be submitted within 30 days of the receipt.Subsequent actions regarding the follow-up report will be taken and submitted in accordance with 21 cfr 803.10 and 803.56.
 
Event Description
The following information was obtained through medwatch report.Report number: mw5077450.The event description was: "the patient is a long-time contact lens wearer.She started wearing a hubble contact lenses a few months ago and her vision gradually became blurrier and blurrier, and her eyes have been very irritated.Refraction revealed a -1.75 diopter shift in her vision in each eye.Slit lamp examination revealed a corneal ulcer of the right eye and significant punctate keratopathy in the left eye.This is my fifth patient who has presented for an exam with hubble contact lenses, and she is the fourth who has had a corneal ulcer or significant contact-lens-related corneal problem.I have heard similar reports from other eye care practitioners.I am concerned that this brand of contact lenses is contributing to these potentially sight-threatening corneal issues.I am also concerned that the hubble contact lens company does not properly verify patient contact lens prescriptions.".
 
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Brand Name
HUBBLE
Type of Device
SOFT CONTACT LENS
Manufacturer (Section D)
ST. SHINE OPTICAL CO., LTD.
4,5 f/l no. 276-2 sec. 1
tatung rd., hsi chih dist.,
new taipei city, 221
TW  221
Manufacturer Contact
jeremy lin
4,5 f/l no. 276-2 sec. 1
tatung rd., hsi chih dist.,
new taipei city, 221
TW   221
MDR Report Key7665702
MDR Text Key113282260
Report Number9617499-2018-00010
Device Sequence Number1
Product Code LPL
Combination Product (y/n)N
PMA/PMN Number
K121201
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type other
Type of Report Initial
1 Device was Involved in the Event
1 Patient was Involved in the Event
Date FDA Received07/06/2018
Is this an Adverse Event Report? Yes
Is this a Product Problem Report? No
Device Operator Lay User/Patient
Device Lot NumberUNKNOWN
Was Device Available for Evaluation? No
Date Manufacturer Received06/06/2018
Was Device Evaluated by Manufacturer? Device Not Returned to Manufacturer
Is the Device Single Use? Yes
Type of Device Usage Unknown
Patient Sequence Number1
Patient Outcome(s) Other;
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