KY BRAND MARQUE WARMING LIQUID

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2016-04-01 for KY BRAND MARQUE WARMING LIQUID manufactured by .

Event Text Entries

[42170770] I, along with my boyfriend, went away for a weekend. I used ky jelly warming liquid. Well, that was the beginning of one of the worst weeks in my life and also the wrecking of the weekend. First, i called and the person i had to speak with was rude, disinterested, and said there was nothing that she could do. I asked to speak with the manger in charge, she said she was that person. I contacted attorney (b)(6) to represent me and he spoke with (b)(6); ref: (b)(4). I have tried to contact (b)(6) myself but to no avail. I've subsequently texted and called attorney (b)(6) and he hasn't responded, which leaves me to assume he doesn't have any updates. All info has been forwarded via attorney to ky (as per attorney). Reason for use: dryness. Is the product over the counter: yes; event abated after use, stopped or dose reduced: no.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report NumberMW5061520
MDR Report Key5553767
Date Received2016-04-01
Date of Report2016-04-01
Date of Event2015-05-23
Date Added to Maude2016-04-07
Event Key0
Report Source CodeVoluntary report
Manufacturer LinkN
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Reporter OccupationPATIENT
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Single Use3
Previous Use Code3
Event Type3
Type of Report0

Device Details

Brand NameKY BRAND MARQUE WARMING LIQUID
Generic NameKY JELLY WARMING LIQUID
Product CodeKMJ
Date Received2016-04-01
Device AvailabilityN
Device Eval'ed by Mfgr*
Device Sequence No1
Device Event Key0


Patients

Patient NumberTreatmentOutcomeDate
10 2016-04-01

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