BEUDAMED
    FDA Adverse Event Other Summary report: N

    LIFESTYLES

    MDR report key: 343650 · Received July 25, 2001

    Report

    Report Number
    MW4003018
    Event Type
    Other
    Date Received
    July 25, 2001
    Report Date
    July 20, 2001
    Manufacturer
    ANSELL HEALTHCARE PRODUCTS INC
    Product Code
    HIS
    Adverse Event
    Yes
    Report Source
    Voluntary report
    Reporter Location
    DC, US
    Reporter Occupation
    INVALID DATA

    Narratives

    Description of Event or Problem · 1

    CUSTOMER AND PTS COMPLAIN OF BURNING AND SKIN IRRITATION.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    33434 LIFESTYLES CONDOM W/SPERMICIDE HIS ANSELL HEALTHCARE PRODUCTS INC 600814/5500 U81294832Z

    Patients

    Seq Age Sex Outcome Treatment
    1 * Other