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 |