MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a 04 report with the FDA on 2008-12-04 for BENGAY MOIST HEAT THERAPY manufactured by Johnson And Johnson Group Of Consumer Companies.
[20195392]
This was a spontaneous report received from a male consumer reporting on himself. The consumer reported using one bengay moist heat therapy patch (no active ingredient) once on (b) (6) 2008, to treat muscle pain. After product use (date unspecified), his skin burned. As of (b) (6) 2008, the outcome of the event was unk. The case is serious (medically significant).
Patient Sequence No: 1, Text Type: D, B5
[20603467]
The product was not returned for failure analysis/laboratory testing. It cannot be ruled out that the product may have possibly caused the event.
Patient Sequence No: 1, Text Type: N, H10
| Report Number | 2246407-2008-00011 |
| MDR Report Key | 1257428 |
| Report Source | 04 |
| Date Received | 2008-12-04 |
| Date Mfgr Received | 2008-11-25 |
| Date Added to Maude | 2009-11-24 |
| Event Key | 0 |
| Report Source Code | Manufacturer report |
| Manufacturer Link | Y |
| Number of Patients in Event | 0 |
| Adverse Event Flag | 3 |
| Product Problem Flag | 3 |
| Reprocessed and Reused Flag | 0 |
| Health Professional | 3 |
| Initial Report to FDA | 3 |
| Report to FDA | 0 |
| Event Location | 0 |
| Manufacturer Street | 185 TABOR ROAD (PRINTING UNIT) |
| Manufacturer City | MORRIS PLAINS NJ 07950 |
| Manufacturer Country | US |
| Manufacturer Postal | 07950 |
| Manufacturer Phone | 9733852990 |
| Single Use | 3 |
| Previous Use Code | 3 |
| Event Type | 3 |
| Type of Report | 3 |
| Brand Name | BENGAY MOIST HEAT THERAPY |
| Generic Name | DEVICE DELIVERY AID |
| Product Code | OMW |
| Date Received | 2008-12-04 |
| Lot Number | A7XJ |
| Device Expiration Date | 2009-09-01 |
| Operator | LAY USER/PATIENT |
| Device Availability | N |
| Device Age | DA |
| Device Eval'ed by Mfgr | R |
| Device Sequence No | 1 |
| Device Event Key | 0 |
| Manufacturer | JOHNSON AND JOHNSON GROUP OF CONSUMER COMPANIES |
| Manufacturer Address | MORRIS PLAINS NJ 07950 US 07950 |
| Patient Number | Treatment | Outcome | Date |
|---|---|---|---|
| 1 | 0 | 1. Other | 2008-12-04 |