FDA Adverse Event
Malfunction
Summary report: N
LENA
MDR report key: 10590079
·
Received September 25, 2020
Report
- Report Number
- 3011660924-2020-00011
- Event Type
- Malfunction
- Date Received
- September 25, 2020
- Report Date
- September 25, 2020
- Manufacturer
- LENA CUP LLC
- Product Code
- HHE
- UDI-DI
- 00850008236068
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- IL, US
- Reporter Occupation
- OTHER
Narratives
Description of Event or Problem · 0
USER REPORTED THAT SHE HAD PAIN WHEN USING THE CUP AND HAS NOTICED A MODERATE INCREASE IN HER CYSTOCELE.
Description of Event or Problem · 1
USER REPORTED THAT SHE HAD PAIN WHEN USING THE CUP AND HAS NOTICED A MODERATE INCREASE IN HER CYSTOCELE.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1050906 | LENA | MENSTRUAL CUP | HHE | LENA CUP LLC | LENA-PUR-L | 161039 | 00850008236068 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | Other |