BAND-AID PLUS NEOSPORIN EXTRA LARGE 381370055679A

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a consumer report with the FDA on 2020-01-28 for BAND-AID PLUS NEOSPORIN EXTRA LARGE 381370055679A manufactured by Johnson & Johnson Consumer Inc.

MAUDE Entry Details

Report Number8041154-2020-00004
MDR Report Key9638128
Report SourceCONSUMER
Date Received2020-01-28
Date of Report2020-01-08
Date Mfgr Received2020-01-08
Device Manufacturer Date2019-03-07
Date Added to Maude2020-01-28
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Health Professional0
Initial Report to FDA0
Report to FDA3
Event Location3
Manufacturer ContactLAURIE RAUCO
Manufacturer Street199 GRANDVIEW RD
Manufacturer CitySKILLMAN NJ 085589418
Manufacturer CountryUS
Manufacturer Postal085589418
Manufacturer Phone2152734905
Manufacturer G1BRAZIL CONSUMER
Manufacturer StreetRODOVIA PRESIDENTE DUTRA KM 15
Manufacturer CityS
Manufacturer CountryBR
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameBAND-AID PLUS NEOSPORIN EXTRA LARGE
Generic NameADHESIVE BANDAGES
Product CodeKGX
Date Received2020-01-28
Model Number381370055679A
Lot Number0669B
OperatorLAY USER/PATIENT
Device AvailabilityN
Device Eval'ed by MfgrR
Device Sequence No1
Device Event Key0
ManufacturerJOHNSON & JOHNSON CONSUMER INC
Manufacturer Address199 GRANDVIEW RD SKILLMAN NJ 085589418 US 085589418


Patients

Patient NumberTreatmentOutcomeDate
101. Required No Informationntervention 2020-01-28

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