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 2009-09-25 for BENGAY MOIST HEAT THERAPY manufactured by Johnson And Johnson Group Of Consumer Companies.

Event Text Entries

[18081664] 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


[18240240] This was a spontaneous report from an attorney concerning a female consumer (age unspecified). The customer applied bengay moist heat therapy pad (no active ingredient) (dose, frequency, date, and indication unspecified). On an unspecified date, she sustained a burn. As of (b)(6)-2009, product use and the outcome of the events were unk. This case is serious (medically significant).
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number2246407-2009-00015
MDR Report Key1487636
Report Source04
Date Received2009-09-25
Date of Report2009-09-15
Date Mfgr Received2009-09-15
Date Added to Maude2011-03-17
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 RD (PRINTING UNIT)
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 NamePACK, HOT OR COLD, DISPOSABLE
Product CodeOMW
Date Received2009-09-25
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; 2. Deathisabilit 2009-09-25

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