FDA Adverse Event Injury Summary report: N

SYSTEM JO

MDR report key: 6358596 · Received February 24, 2017

Report

Report Number
1032263-2017-00007
Event Type
Injury
Date Received
February 24, 2017
Report Date
February 24, 2017
Manufacturer
UNITED CONSORTIUM
Product Code
NUC
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
OR, US
Reporter Occupation
PATIENT

Narratives

Description of Event or Problem · 1

BURNING SENSATION.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
140904 SYSTEM JO PERSONAL LUBRICANT NUC UNITED CONSORTIUM 40207

Patients

Seq Age Sex Outcome Treatment
1 30 YR