BENGAY MOIST HEAT THERAPY

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a 04 report with the FDA on 2009-07-23 for BENGAY MOIST HEAT THERAPY manufactured by Johnson And Johnson Group Of Consumer Companies.

Event Text Entries

[1102985] This was a spontaneous report received from a female consumer reporting on herself. The consumer used one bengay moist heat therapy pad (no active ingredient) to treat bursitis (frequency and dates of use unspecified). In 2009, the consumer took the pad off after four and one-half hours and a layer of her skin came off. As of that date, it was unknown if product use continued and the outcome of the events was unknown. The case is serious (medically significant).
Patient Sequence No: 1, Text Type: D, B5


[8352918] 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


MAUDE Entry Details

Report Number2246407-2009-00012
MDR Report Key1420774
Report Source04
Date Received2009-07-23
Date of Event2009-07-15
Date Mfgr Received2009-07-15
Date Added to Maude2009-07-29
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag0
Health Professional3
Initial Report to FDA3
Report to FDA0
Event Location0
Manufacturer Street185 TABOR ROAD
Manufacturer CityMORRIS PLAINS NJ 07950
Manufacturer CountryUS
Manufacturer Postal07950
Manufacturer Phone9733852990
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameBENGAY MOIST HEAT THERAPY
Generic NamePAD, MEDICATED, ADHESIVE, NON-ELECTRIC
Product CodeOMW
Date Received2009-07-23
Lot NumberA7XN
Device Expiration Date2009-09-30
OperatorLAY USER/PATIENT
Device AvailabilityN
Device AgeDA
Device Eval'ed by MfgrR
Device Sequence No1
Device Event Key0
ManufacturerJOHNSON AND JOHNSON GROUP OF CONSUMER COMPANIES
Manufacturer AddressMORRIS PLAINS NJ 07950 US 07950


Patients

Patient NumberTreatmentOutcomeDate
101. Other 2009-07-23

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