FDA Adverse Event Injury Summary report: N

L. ULTRA THIN CONDOMS

MDR report key: 5476460 · Received February 29, 2016

Report

Report Number
MW5060654
Event Type
Injury
Date Received
February 29, 2016
Report Date
February 29, 2016
Manufacturer
L
Product Code
HIS
Adverse Event
Yes
Product Problem
Yes
Report Source
Voluntary report
Reporter Occupation
PATIENT

Narratives

Description of Event or Problem · 1

BOUGHT A BOX OF L CONDOMS ULTRA THIN. THREE OUT OF TEN BROKE OUT OF A BOX OF 12. THREW THE OTHER TWO AWAY. I HAVEN'T HAD A CONDOM BREAK ON ME IN 15 YEARS.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
123423 L. ULTRA THIN CONDOMS L. ULTRA THIN CONDOMS HIS L 1403/14

Patients

Seq Age Sex Outcome Treatment
1 Other