BEUDAMED
    FDA Adverse Event Injury Summary report: N

    JO AGAPE PERSONAL LUBRICANT

    MDR report key: 6567806 · Received May 15, 2017

    Report

    Report Number
    1032263-2017-00008
    Event Type
    Injury
    Date Received
    May 15, 2017
    Date of Event
    December 1, 2016
    Report Date
    May 15, 2017
    Manufacturer
    UNITED CONSORTIUM
    Product Code
    NUC
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    TX, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    PER CUSTOMER "I CAN'T ENJOY SEX BECAUSE EVERY TIME I USE THIS LUBE IT BURNS."

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    348464 JO AGAPE PERSONAL LUBRICANT PERSONAL LUBRICANT NUC UNITED CONSORTIUM 44049 253076

    Patients

    Seq Age Sex Outcome Treatment
    1 24 YR Required Intervention