E-Z LUBRICATING JELLY MDS032290

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2018-06-08 for E-Z LUBRICATING JELLY MDS032290 manufactured by Medline Industries, Inc..

Event Text Entries

[110486756]
Patient Sequence No: 1, Text Type: N, H10


[110486757] I went through the results in basket and processed pap smear results, finding 7 pap smears which returned with no diagnosis and/or scant cellularity. This was an unusually high number of no diagnosis pap smears, as we typically have 1 or 2 in a month. I sent them over to the respective providers. Dr. Called me back and said something was wrong for there to be that many with no diagnosis. Dr. Said he spoke with pathology and that they agreed to re-review the pap smears.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number7582181
MDR Report Key7582181
Date Received2018-06-08
Date of Report2018-05-29
Date of Event2018-05-24
Report Date2018-05-29
Date Reported to FDA2018-05-29
Date Reported to Mfgr2018-05-29
Date Added to Maude2018-06-08
Event Key0
Report Source CodeUser Facility 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 Report3

Device Details

Brand NameE-Z LUBRICATING JELLY
Generic NameLUBRICANT, PATIENT
Product CodeKMJ
Date Received2018-06-08
Catalog NumberMDS032290
Lot Number8A078 AND 71042
ID NumberRA16HND
OperatorPHYSICIAN
Device AvailabilityY
Device Eval'ed by Mfgr*
Device Sequence No1
Device Event Key0
ManufacturerMEDLINE INDUSTRIES, INC.
Manufacturer AddressTHREE LAKES DRIVE NORTHFIELD IL 60093 US 60093


Patients

Patient NumberTreatmentOutcomeDate
10 2018-06-08

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