TROJAN BARESKIN CONDOMS 24 CT 2260099853

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 2019-08-19 for TROJAN BARESKIN CONDOMS 24 CT 2260099853 manufactured by Church & Dwight Co., Inc..

MAUDE Entry Details

Report Number2280705-2019-00020
MDR Report Key8907712
Report SourceCONSUMER
Date Received2019-08-19
Date of Report2019-07-10
Date Mfgr Received2019-07-10
Date Added to Maude2019-08-19
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 ContactMRS. STACEY HARSHAW
Manufacturer Street469 NORTH HARRISON STREET
Manufacturer CityPRINCETON NJ 08543
Manufacturer CountryUS
Manufacturer Postal08543
Manufacturer Phone6098067868
Manufacturer G1CHURCH & DWIGHT CO., INC.
Manufacturer Street1851 TOUCHSTONE DRIVE
Manufacturer CitySOUTH CHESTERFIELD VA 23834
Manufacturer CountryUS
Manufacturer Postal Code23834
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameTROJAN BARESKIN CONDOMS 24 CT
Generic NameTROJAN BARESKIN CONDOMS 24 CT
Product CodeHIS
Date Received2019-08-19
Model Number2260099853
OperatorLAY USER/PATIENT
Device AvailabilityN
Device Eval'ed by Mfgr*
Device Sequence No1
Device Event Key0
ManufacturerCHURCH & DWIGHT CO., INC.
Manufacturer Address500 CHARLES EWING BOULEVARD EWING NJ 08628 US 08628


Patients

Patient NumberTreatmentOutcomeDate
101. Other 2019-08-19

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