REPLENS VAGINAL MOISTURIZER

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2016-10-06 for REPLENS VAGINAL MOISTURIZER manufactured by .

Event Text Entries

[57098597] He and wife used product during sex three months ago after the first use he noticed some irritation in his penis. On the second day the shaft of his penis was very painful. He says he initially accused his wife of having an affair. They both were seen by doctors but were negative for sexual diseases. A doctor prescribed him metronidazole. No improvement. He was then prescribed doxycycline. No improvement. His doctor referred him to urologist but he would have to wait a long time for appointment so he saw nurse practioner. The nurse prescribed him penicillin, no improvement. Finally he saw urologist. The caller says that urologist suggested there was a chemical reaction. The urologist gave him cipro. However, he still has burning and needle-like pain in shaft of penis. He says he is very upset that the fda would allow this product on the market. He has been dealing with this problem since (b)(6). He says the ingredients in the product are causing his problem. They are attaching to the cell wall in his penis. Purified water. Glycerin, mineral oil, polycarbophil, carbomer, hydrogenated palm oil glyceride, sorbic acid, methyl paraben, sodium hydroxide. He did not see an allergist. He has not contacted the mfr.
Patient Sequence No: 1, Text Type: D, B5


[58074651] Additional information received on 10/11/2016 from reporter for report #: mw5065239. He stated that he already filed a report to (b)(4) about a week and a half ago. He called them to follow up on it today but was referred to cdrh. He states that on (b)(6) 2016 he engaged in intercourse with his wife. Initially he used ky jelly but discontinued use due to the pain he felt on his penis. He then switched to replens, which he describes as the "liquid from profanity. " his wife accused him of having an affair. His wife denies any adverse effects from the lubricant.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report NumberMW5065239
MDR Report Key6010618
Date Received2016-10-06
Date of Report2016-10-11
Date of Event2016-07-01
Date Added to Maude2016-10-07
Event Key0
Report Source CodeVoluntary report
Manufacturer LinkN
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag0
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 Report3

Device Sequence Number: 1

Brand NameREPLENS VAGINAL MOISTURIZER
Generic NameLUBRICANT
Product CodeNUC
Date Received2016-10-06
Lot NumberU64273
Device Availability*
Device Eval'ed by Mfgr*
Device Sequence No1
Device Event Key0

Device Sequence Number: 2

Brand NameKY JELLY
Generic NameKYLJELLY
Product CodeNUC
Date Received2016-10-06
Device Availability*
Device Eval'ed by Mfgr*
Device Sequence No2
Device Event Key0
ManufacturerUNK


Patients

Patient NumberTreatmentOutcomeDate
10 2016-10-06

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