INTIMINA LILY CUP COMPACT A

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2020-03-10 for INTIMINA LILY CUP COMPACT A manufactured by Lelo Inc.

Event Text Entries

[183515850] Purchased intimina lily cup menstrual period collection device. (i bought the correct fit and have used intravaginal birth control devices prior so i am familiar with use of intravaginal devices). This cup created so much suction / vacuum on the cervix that i was unable to remove on my own. I have tried valsalva maneuvers and squatting to try to get it out but ended up having a physician remove it using a speculum and ring forceps, very painful. No longer have the product the dr threw it in the biohazard. Fda safety report id# (b)(4).
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report NumberMW5093673
MDR Report Key9818436
Date Received2020-03-10
Date of Report2020-03-08
Date of Event2020-02-25
Date Added to Maude2020-03-11
Event Key0
Report Source CodeVoluntary 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 NameINTIMINA LILY CUP COMPACT A
Generic NameCUP, MENSTRUAL
Product CodeHHE
Date Received2020-03-10
Device AvailabilityN
Device Eval'ed by MfgrI
Device Sequence No1
Device Event Key0
ManufacturerLELO INC


Patients

Patient NumberTreatmentOutcomeDate
101. Life Threatening; 2. Required No Informationntervention 2020-03-10

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