MEN'S LIBERTY
Report
- Report Number
- 3003622638-2025-00001
- Event Type
- Injury
- Date Received
- June 20, 2025
- Date of Event
- February 8, 2025
- Report Date
- June 19, 2025
- Manufacturer
- ARGENTUM MEDICAL, LLC
- Product Code
- NOA
- UDI-DI
- 00653599000168
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Occupation
- OTHER
Narratives
PATIENT SUPPLIED THE UDI FROM HIS PRODUCT WHICH INCLUDES THE PRODUCT LOT # K32613. MANUFACTURING RECORDS WERE REVIEWED, AND THERE WERE NO DISCREPANCIES NOTED. THERE WERE NO NONCONFORMANCES ASSOCIATED WITH THIS LOT. IT IS ALSO UNCLEAR WHETHER THE PATIENT HAS SPOKEN TO OUR MEDICAL PRODUCT SPECIALISTS FOR TROUBLESHOOTING ON THIS MATTER. IN THE REPORT, PATIENT STATED HE HAS BEEN USING ML FOR 3 YEARS, BUT WE ARE UNABLE TO RETRIEVE PATIENT NOTES IN OUR SYSTEM WITHOUT ANY IDENTIFYING INFORMATION. IT IS UNKNOWN WHAT COULD CAUSE THE PATIENT TO EXPERIENCE SORES AND BLISTERS IF HE SUCCESSFULLY USED THE PRODUCT FOR 3 YEARS AND HAD NO REACTION DURING A SKIN TEST. WITHOUT MORE INFORMATION, THIS COMPLAINT CANNOT BE INVESTIGATED FURTHER. THIS IS ALSO BEING REPORTED TO THE FDA BY ARGENTUM IN AN ABUNDANCE OF CAUTION.
FDA CONTACTED US THAT A PATIENT HAD SUBMITTED AN ADVERSE EVENT REPORT THROUGH THEIR MEDWATCH PROGRAM (FORM MW5170048). PATIENT DID NOT SUPPLY ANY PERSONAL INFORMATION TO CONTACT THEM. PATIENT STATED HE STARTED TO EXPERIENCE SORES AND BLISTERS ON THE TIP OF HIS ANATOMY WHERE MEN'S LIBERTY IS APPLIED. HE STATED HE DID NOT HAVE ANY ISSUES FOR 3 YEARS OF PRODUCT USE UNTIL HE STARTED TAKING THE MEDICATION SPIRONOLACTONE. PATIENT STATED HE TRIED A SKIN TEST OF MEN'S LIBERTY AT THE ADVICE OF HIS DERMATOLOGIST, AND THAT HE DID NOT HAVE ANY REACTION TO MEN'S LIBERTY DURING HIS SKIN TEST.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1670086 | MEN'S LIBERTY | EXTERNAL CATHETER | NOA | ARGENTUM MEDICAL, LLC | 23046 | K32613 | 00653599000168 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA | Unknown | Other |