MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2001-12-17 for TROJAN SUPRA * 22600-0903-20 manufactured by Carter-wallace Inc.
[21399653]
Rptr had 2 pts report increased breakage with trojan supra microsheer polyurethane ultra thin condoms with spermicidal lubricant.
Patient Sequence No: 1, Text Type: D, B5
Report Number | MW1023649 |
MDR Report Key | 367739 |
Date Received | 2001-12-17 |
Date of Report | 2001-12-17 |
Date Added to Maude | 2001-12-27 |
Event Key | 0 |
Report Source Code | Voluntary report |
Manufacturer Link | N |
Number of Patients in Event | 0 |
Adverse Event Flag | 3 |
Product Problem Flag | 3 |
Reprocessed and Reused Flag | 0 |
Reporter Occupation | PHARMACIST |
Health Professional | 3 |
Initial Report to FDA | 0 |
Report to FDA | 0 |
Event Location | 3 |
Single Use | 0 |
Previous Use Code | 0 |
Event Type | 3 |
Type of Report | 3 |
Brand Name | TROJAN SUPRA |
Generic Name | POLYURETHANE CONDOMS |
Product Code | LTZ |
Date Received | 2001-12-17 |
Model Number | * |
Catalog Number | 22600-0903-20 |
Lot Number | * |
ID Number | NDC 22600-0903-20 |
Operator | LAY USER/PATIENT |
Device Availability | * |
Implant Flag | N |
Date Removed | * |
Device Sequence No | 1 |
Device Event Key | 356859 |
Manufacturer | CARTER-WALLACE INC |
Manufacturer Address | * NEW YORK NY 10105 US |
Patient Number | Treatment | Outcome | Date |
---|---|---|---|
1 | 0 | 2001-12-17 |