LIFESTYLE ULTRA LUBRICATED CONDOMS

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2018-09-28 for LIFESTYLE ULTRA LUBRICATED CONDOMS manufactured by Ansell Healthcare Products Llc.

Event Text Entries

[122306335] Lifestyle condoms provided in clinic were reported to break multiple times during correct use in intercourse. Staff in clinic tried putting condoms over their hands. Two staff members reported the condoms breaking on their hands. Reason for use: safe sex.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report NumberMW5080208
MDR Report Key7922285
Date Received2018-09-28
Date of Report2018-09-27
Date of Event2018-09-27
Date Added to Maude2018-10-01
Event Key0
Report Source CodeVoluntary report
Manufacturer LinkN
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Single Use3
Previous Use Code3
Event Type3
Type of Report0

Device Details

Brand NameLIFESTYLE ULTRA LUBRICATED CONDOMS
Generic NameCONDOM
Product CodeHIS
Date Received2018-09-28
Lot Number1708081916
Device AvailabilityY
Device Eval'ed by MfgrI
Device Sequence No1
Device Event Key0
ManufacturerANSELL HEALTHCARE PRODUCTS LLC


Patients

Patient NumberTreatmentOutcomeDate
10 2018-09-28

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