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MAUDE Adverse Event Report: L L. ULTRA THIN CONDOMS
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L L. ULTRA THIN CONDOMS
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Lot Number
1403/14
Device Problems
Break (1069); Out-Of-Box Failure (2311)
Patient Problem
No Information (3190)
Event Type
Injury
Event Description
Bought a box of l condoms ultra thin.Three out of ten broke out of a box of 12.Threw the other two away.I haven't had a condom break on me in 15 years.
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Brand Name
L. ULTRA THIN CONDOMS
Type of Device
L. ULTRA THIN CONDOMS
Manufacturer
(Section D)
L
MDR Report Key
5476460
MDR Text Key
39654367
Report Number
MW5060654
Device Sequence Number
1
Product Code
HIS
Number of Events Reported
1
Summary Report (Y/N)
N
Report Source
Voluntary
Reporter Occupation
Patient
Type of Report
Initial
Report Date
02/29/2016
1
Device was Involved in the Event
1
Patient was Involved in the Event
Date FDA Received
02/29/2016
Is this an Adverse Event Report?
Yes
Is this a Product Problem Report?
Yes
Device Operator
Lay User/Patient
Device Expiration Date
02/28/2019
Device Lot Number
1403/14
Type of Device Usage
N
Patient Sequence Number
1
Patient Outcome(s)
Other;
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