Brand Name | LENA CUP |
Type of Device | MENSTRUAL CUP |
Manufacturer (Section D) |
LENA CUP LLC |
244 fifth avenue #2243 |
new york NY 10001 |
|
Manufacturer (Section G) |
IRP MEDICAL |
1035 calle amanecer |
|
san clemente CA 92673 |
|
Manufacturer Contact |
rey
obnamia
|
1035 calle amanecer |
san clemente, CA 92673
|
|
MDR Report Key | 9197961 |
MDR Text Key | 190640559 |
Report Number | 3011660924-2019-00015 |
Device Sequence Number | 1 |
Product Code |
HHE
|
Combination Product (y/n) | N |
Reporter Country Code | US |
Number of Events Reported | 1 |
Summary Report (Y/N) | N |
Report Source |
Manufacturer
|
Source Type |
consumer,distributor |
Reporter Occupation |
Other
|
Type of Report
| Initial |
1 Device was Involved in the Event |
|
1 Patient was Involved in the Event |
|
Date FDA Received | 10/16/2019 |
Is this an Adverse Event Report? |
Yes
|
Is this a Product Problem Report? |
No
|
Device Operator |
Lay User/Patient
|
Was Device Available for Evaluation? |
No
|
Date Manufacturer Received | 10/12/2019 |
Was Device Evaluated by Manufacturer? |
No
|
Is This a Reprocessed and Reused Single-Use Device? |
No
|
Type of Device Usage |
Initial
|
Patient Sequence Number | 1 |
Patient Outcome(s) |
Other;
Required Intervention;
|
|
|