Brand Name | ASTROGLIDE |
Type of Device | LUBRICANT, PERSONAL |
Manufacturer (Section D) |
|
MDR Report Key | 18059379 |
MDR Text Key | 327390450 |
Report Number | MW5147661 |
Device Sequence Number | 1 |
Product Code |
NUC
|
Combination Product (y/n) | N |
Reporter Country Code | US |
Number of Events Reported | 1 |
Summary Report (Y/N) | N |
Report Source |
Voluntary
|
Reporter Occupation |
Patient
|
Type of Report
| Initial |
Report Date |
10/18/2023 |
1 Device was Involved in the Event |
|
1 Patient was Involved in the Event |
|
Date FDA Received | 11/01/2023 |
Is this an Adverse Event Report? |
Yes
|
Is this a Product Problem Report? |
No
|
Device Lot Number | "A016310?" |
Was Device Available for Evaluation? |
Yes
|
Patient Sequence Number | 1 |
Treatment | CHLOROTHIADONE; ELIQUIS; LISINOPRIL; METOPRALOL; MULTIVITAMIN ; OMEPRAZOLE; VIT D; ZINC |
Patient Age | 66 YR |
Patient Sex | Female |
Patient Weight | 113 KG |
Patient Ethnicity | Non Hispanic |
Patient Race | White |
|
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