USA 34091277 DUREX INVISIBLE CONDOM

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a consumer report with the FDA on 2019-05-10 for USA 34091277 DUREX INVISIBLE CONDOM manufactured by Reckitt Benckiser Healthcare Int. Limited.

Event Text Entries

[144680273] Case reference number (b)(6) is a spontaneous case report sent by a consumer which refers to a female aged (b)(6) years. It was reported that on (b)(6) 2019, a (b)(6) year-old female patient used durex invisible condom for an unknown indication. Patient stated that she had used the product for intercourse. She informed that during intercourse the tip of the condom broke and the product was removed and replaced with a new condom with no problem. She also informed that on (b)(6) 2019, she found a nickel sized amount of the condom inside her vagina. She said that it was the top or tip of the condom. She also said that approximately (b)(6) 2019, she started experiencing thick vaginal discharge with internal itching. No home therapy had been completed. Patient reported on (b)(6) 2019 that she is still experiencing discharge but the itching had subsided. At the time she had not yet visited an hcp but was concerned about possibly contracting an std. She has an iud inserted to prevent pregnancy. On (b)(6) 2019 the patient confirmed she did visit a hcp and is awaiting unspecified test results; the discharge is still present. Her hcp took a blood sample and vaginal swab; patient reported she currently was taking no treatment. The reporter provided more information on (b)(6) 2019. She states that on (b)(6) 2019 she saw her hcp and had an std screening and pregnancy test. The std screening came back positive for an unspecified sexually transmitted disease. The patient stated that bacteria was found and she was completing unspecified treatment. Her hcp did not confirm if her symptoms were related to the product. Patient stated she had a test for gardnerella vaginalis which was positive, this was been treated by metrogel. The patient also confirmed she had (b)(6), and was undergoing treatment with (b)(6). It was not confirmed if this occurred before or after device usage. Rb is awaiting the medical records from the consumer. Medical history: allergic to perfume and smoker. The case was deemed serious. Follow-up has been requested to obtain further information. The company's assessment is serious with a relatedness of possible and unanticipated. Case description: initial report, received date 03-apr-2019. Received from consumer relations, country united states, reference no: (b)(4). Medical device: durex invisible condom. Batch no: 1000578974. Expiry date: 01-aug-2023. Vaginal discharge [vaginal discharge]. Internal itching [pruritus genital]. Patient found nickel sized amount of the condom inside her vagina [foreign body in reproductive tract]. Condom broke [device breakage]. Positive std screening [sexually transmitted disease]. Gardnerella vaginalis [vaginitis gardnerella].
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number3008559248-2019-00005
MDR Report Key8599089
Report SourceCONSUMER
Date Received2019-05-10
Date of Report2019-06-21
Date of Event2019-03-27
Date Mfgr Received2019-06-13
Date Added to Maude2019-05-10
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
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
Manufacturer ContactJOANNE MARTINEZ
Manufacturer Street399 INTERPACE PARKWAY
Manufacturer CityPARSIPPANY NJ 070540225
Manufacturer CountryUS
Manufacturer Postal070540225
Manufacturer Phone9734042478
Manufacturer G1RECKITT BENCKISER HEALTHCARE INT LIMITED
Manufacturer StreetDANSOM LANE
Manufacturer CityHULL, HU8 7DS
Manufacturer CountryUK
Manufacturer Postal CodeHU8 7DS
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameUSA 34091277 DUREX INVISIBLE CONDOM
Generic NameDUREX INVISIBLE CONDOM
Product CodeHIS
Date Received2019-05-10
Lot Number1000578974
OperatorLAY USER/PATIENT
Device AvailabilityN
Device AgeDA
Device Eval'ed by MfgrR
Device Sequence No1
Device Event Key0
ManufacturerRECKITT BENCKISER HEALTHCARE INT. LIMITED
Manufacturer AddressDANSOM LANE HULL, HU8 7DS UK HU8 7DS


Patients

Patient NumberTreatmentOutcomeDate
101. Other 2019-05-10

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