inforMED
InjuryMMS

K-Y TOUCH MASSAGE 2 IN 1 WARMING USA

Received Aug 4, 2011 · Event occurred Jul 6, 2011

Report 2214133-2011-00003 · MDR key 2197005

Device

Generic name

Personal Lubricant

Manufacturer

Skillman Contract

Model number

8004009133

Lot number

0070C

Product problems

  • Patient-Device Incompatibility

Patient

35 YR

  • Hypersensitivity/Allergic reaction
  • Respiratory Distress
  • Swelling
  • Urticaria

Narrative

Additional Manufacturer Narrative

DATE OF THIS SUBMISSION IS (B)(6) 2011. THIS CLOSES OUT THIS REPORT UNLESS ADDITIONAL SIGNIFICANT INFO IS RECEIVED.

Description of Event or Problem

CONSUMER REPORTS THAT SHE EXPERIENCED SWELLING OF HER THROAT AND TONGUE, ITCHING AND HIVES AFTER THE SECOND APPLICATION OF THIS PRODUCT. CONSUMER WAS TAKEN TO THE HOSPITAL BY AMBULANCE. SHE WAS ADMINISTERED CPR AND ADMITTED TO THE ICU ONCE HER BREATHING RETURNED TO NORMAL. IN THE HOSPITAL SHE WAS TREATED WITH HYDROCORTISONE, STEROIDS, EPINEPHRINE, AND UNSPECIFIED BREATHING TREATMENTS. THE FIRST TIME SHE USED THIS PRODUCT ((B)(6) 2010) SHE EXPERIENCED A MILD REACTION AND WAS TREATED AT IN THE EMERGENCY DEPARTMENT.