FDA Adverse Event Other Summary report: N

SCHEIN STERILE LUBRICATING JELLY 4 OZ. TUBE

MDR report key: 1819564 · Received August 25, 2010

Report

Report Number
2128643-2010-00001
Event Type
Other
Date Received
August 25, 2010
Date of Event
February 9, 2010
Report Date
August 25, 2010
Manufacturer
TRIAD GROUP, INC.
Product Code
FHX
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
CA, US
Reporter Occupation
PHYSICIAN

Narratives

Additional Manufacturer Narrative · 1

WHEN USING SCHEIN STERILE LUBRICATING JELLY, 4 OZ. TUBE, LOT 9B121, OVER 30 PTS COMPLAINED OF VAGINAL IRRITATION. ALL PTS WERE PRESCRIBED A MEDICATED OINTMENT. UPON USING THE PRESCRIBED MEDICATED OINTMENT, THE SYMPTOMS HAVE RESOLVED.

Description of Event or Problem · 1

WHEN USING SCHEIN STERILE LUBRICATING JELLY, 4 OZ. TUBE, LOT 9B121, OVER 30 PTS COMPLAINED OF VAGINAL IRRITATION. ALL PTS WERE PRESCRIBED A MEDICATED OINTMENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 SCHEIN STERILE LUBRICATING JELLY 4 OZ. TUBE LUBRICATING JELLY FHX TRIAD GROUP, INC. 9B121

Patients

Seq Age Sex Outcome Treatment
1