LOLA

Basic Information

• Brand Name: LOLA
• Primary DI: 00850038563158
• Version / Model: 24CT Large (55mm) Ultra Thin Condoms
• Company Name: FORUM BRANDS, LLC
• Labeler DUNS: 055659749
• Distribution Status: In Commercial Distribution
• Device Count in Pkg: 24
• Record Status: Published
• Publish Date: 2024-08-29
• Public Version: 1
• Public Version Date: 2024-09-06
• Public Version Status: New
• Public Device Record Key: dea89613-0e5e-4898-8656-3e387352c7f0

Device Description

FRMBR1-LZ3-CW3SX

Device Characteristics

• Single Use: Yes
• Prescription Use (Rx): No
• Over the Counter (OTC): No
• Kit: No
• Combination Product: No
• HCT/P: No
• Contains NRL: Yes
• Not Made with NRL: No
• MRI Safety: Labeling does not contain MRI Safety Information
• Direct Marking Exempt: No
• PM Exempt: No
• Has Serial Number: No
• Has Lot/Batch Number: Yes
• Has Manufacturing Date: Yes
• Has Expiration Date: Yes
• Has Donation ID: No

Sterilization

• Is Sterile: No
• Sterilization Prior Use: No

Product Codes

Code	Name	Medical Specialty	Regulation #	Device Class
HIS	Condom	Obstetrics/Gynecology	884.5300	2

GMDN Terms

Code	Name	Definition	Implantable	Status
45138	Basic male condom, Hevea-latex	A Hevea-latex rubber sheath intended to completely cover the penis during coitus to prevent sperm from gaining access to the female reproductive tract and/or prevent the transmission of sexually transmitted infections (STI). It may be textured, flavoured or contain lubricants. This is a single-use device.	No	Active

Identifiers

Type	ID	Issuing Agency	Package Type	Qty per Pkg	Pkg Status	Pkg Discontinue Date
Package	10850038563155	GS1	Master Case	24	In Commercial Distribution
Primary	00850038563158	GS1
Unit of Use	00851617007674	GS1

Premarket Submissions

Submission Number	Supplement Number
K896987	000