MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2019-06-12 for PASSION NATURAL WATER-BASED LUBRICANT, 16 FLUID OUNCE PL100-16OZ 811847014149 683121990087 manufactured by Unk.
| Report Number | MW5087348 |
| MDR Report Key | 8696694 |
| Date Received | 2019-06-12 |
| Date of Report | 2019-06-10 |
| Date of Event | 2018-08-08 |
| Date Added to Maude | 2019-06-13 |
| Event Key | 0 |
| Report Source Code | Voluntary report |
| Manufacturer Link | N |
| Number of Patients in Event | 0 |
| Adverse Event Flag | 3 |
| Product Problem Flag | 3 |
| Reprocessed and Reused Flag | 3 |
| Reporter Occupation | PATIENT |
| Health Professional | 3 |
| Initial Report to FDA | 3 |
| Report to FDA | 3 |
| Event Location | 3 |
| Single Use | 3 |
| Previous Use Code | 3 |
| Event Type | 3 |
| Type of Report | 0 |
| Brand Name | PASSION NATURAL WATER-BASED LUBRICANT, 16 FLUID OUNCE |
| Generic Name | LUBRICANT, PERSONAL |
| Product Code | NUC |
| Date Received | 2019-06-12 |
| Model Number | PL100-16OZ |
| Catalog Number | 811847014149 683121990087 |
| Device Availability | N |
| Device Eval'ed by Mfgr | I |
| Device Sequence No | 1 |
| Device Event Key | 0 |
| Manufacturer | UNK |
| Manufacturer Address | UNK UNK |
| Patient Number | Treatment | Outcome | Date |
|---|---|---|---|
| 1 | 0 | 2019-06-12 |