TROJAN SUPRA * 22600-0903-20

MAUDE Adverse Event Report

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.

Event Text Entries

[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


MAUDE Entry Details

Report NumberMW1023649
MDR Report Key367739
Date Received2001-12-17
Date of Report2001-12-17
Date Added to Maude2001-12-27
Event Key0
Report Source CodeVoluntary report
Manufacturer LinkN
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag0
Reporter OccupationPHARMACIST
Health Professional3
Initial Report to FDA0
Report to FDA0
Event Location3
Single Use0
Previous Use Code0
Event Type3
Type of Report3

Device Details

Brand NameTROJAN SUPRA
Generic NamePOLYURETHANE CONDOMS
Product CodeLTZ
Date Received2001-12-17
Model Number*
Catalog Number22600-0903-20
Lot Number*
ID NumberNDC 22600-0903-20
OperatorLAY USER/PATIENT
Device Availability*
Implant FlagN
Date Removed*
Device Sequence No1
Device Event Key356859
ManufacturerCARTER-WALLACE INC
Manufacturer Address* NEW YORK NY 10105 US


Patients

Patient NumberTreatmentOutcomeDate
10 2001-12-17

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