Brand Name | TROJAN PLEASURE PACK CONDOMS UNSPECIFIED |
Type of Device | CONDOM |
Manufacturer (Section D) |
CHURCH & DWIGHT CO., INC. |
500 charles ewing boulevard |
ewing, nj |
|
Manufacturer (Section G) |
CHURCH & DWIGHT CO., INC. |
1851 touchstone road |
|
south chesterfield, va |
|
Manufacturer Contact |
stacey
harshaw
|
469 north harrison street |
princeton, nj
|
8067868
|
|
MDR Report Key | 10428585 |
MDR Text Key | 204404181 |
Report Number | 2280705-2020-00025 |
Device Sequence Number | 1 |
Product Code |
HIS
|
Combination Product (y/n) | N |
Number of Events Reported | 1 |
Summary Report (Y/N) | N |
Report Source |
Manufacturer
|
Source Type |
consumer |
Type of Report
| Initial |
Report Date |
08/19/2020 |
1 Device was Involved in the Event |
|
1 Patient was Involved in the Event |
|
Date FDA Received | 08/19/2020 |
Is this an Adverse Event Report? |
Yes
|
Is this a Product Problem Report? |
Yes
|
Device Operator |
Lay User/Patient
|
Device Expiration Date | 11/01/2021 |
Device Lot Number | TT8320 |
Was Device Available for Evaluation? |
No
|
Date Manufacturer Received | 08/01/2020 |
Was Device Evaluated by Manufacturer? |
Device Not Returned to Manufacturer
|
Is the Device Single Use? |
Yes
|
Is This a Reprocessed and Reused Single-Use Device? |
No
|
Type of Device Usage |
Unknown
|
Patient Sequence Number | 1 |
|
|