BEUDAMED
    FDA Adverse Event Other Summary report: N

    LIFESTYLES LIQUID PERSONAL LUBRICANT

    MDR report key: 567541 · Received January 26, 2005

    Report

    Report Number
    1019632-2005-00001
    Event Type
    Other
    Date Received
    January 26, 2005
    Report Date
    January 25, 2005
    Manufacturer
    LFD MANUFACTURING LTD.
    Product Code
    NUC
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    NC, US
    Reporter Occupation
    UNKNOWN

    Narratives

    Description of Event or Problem · 1

    CUSTOMER STATED THAT THEY PURCHASED ALOE & VIT E LUBRICANT AND WHEN THEY STARTED USING IT THAT THEY DEVELOPED A RASH LIKE IRRITATION. THEY NEEDED MEDICAL ATTENTION.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 LIFESTYLES LIQUID PERSONAL LUBRICANT LIQUID PERSONAL LUBRICANT NUC LFD MANUFACTURING LTD. * UNK

    Patients

    Seq Age Sex Outcome Treatment
    1 UNKNOWN Other