FDA Adverse Event Injury Summary report: N

BIOTENE MOUTH SPRAY (UNKNOWN)

MDR report key: 16252553 · Received January 27, 2023

Report

Report Number
3012293198-2023-00002
Event Type
Injury
Date Received
January 27, 2023
Date of Event
January 2, 2023
Report Date
January 3, 2023
Manufacturer
ULTRADENT PRODUCTS INC/ORATECH LLC
Product Code
LFD
PMA / PMN Number
K123731
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 0

ARGUS CASE: (B)(4).

Description of Event or Problem · 0

IT GOT INTO MY AIRWAY [ACCIDENTAL DEVICE INGESTION]. MY THROAT GOT CONSTRICTED [THROAT CONSTRICTION]. I COULDN´T BREATHE [DIFFICULTY BREATHING]. CASE DESCRIPTION: THIS CASE WAS REPORTED BY A CONSUMER VIA CALL CENTER REPRESENTATIVE AND DESCRIBED THE OCCURRENCE OF ACCIDENTAL DEVICE INGESTION IN A 68-YEAR-OLD FEMALE PATIENT WHO RECEIVED GLYCERIN (BIOTENE MOUTH SPRAY (UNKNOWN)) OROMUCOSAL SPRAY (BATCH NUMBER BPB9N, EXPIRY DATE 28TH AUGUST 2025) FOR DRY MOUTH. ON AN UNKNOWN DATE, THE PATIENT STARTED BIOTENE MOUTH SPRAY (UNKNOWN). ON (B)(6) 2023, AN UNKNOWN TIME AFTER STARTING BIOTENE MOUTH SPRAY (UNKNOWN), THE PATIENT EXPERIENCED ACCIDENTAL DEVICE INGESTION (SERIOUS CRITERIA GSK MEDICALLY SIGNIFICANT), THROAT CONSTRICTION AND DIFFICULTY BREATHING. THE ACTION TAKEN WITH BIOTENE MOUTH SPRAY (UNKNOWN) WAS UNKNOWN. ON (B)(6) 2023, THE OUTCOME OF THE ACCIDENTAL DEVICE INGESTION, THROAT CONSTRICTION AND DIFFICULTY BREATHING WERE RECOVERED/RESOLVED. THE REPORTER CONSIDERED THE ACCIDENTAL DEVICE INGESTION, THROAT CONSTRICTION AND DIFFICULTY BREATHING TO BE RELATED TO BIOTENE MOUTH SPRAY (UNKNOWN). THIS REPORT IS MADE BY GSK/HALEON WITHOUT PREJUDICE AND DOES NOT IMPLY ANY ADMISSION OR LIABILITY FOR THE INCIDENT OR ITS CONSEQUENCES. ADDITIONAL DETAILS: ADVERSE EVENT INFORMATION WAS RECEIVED BY CONSUMER VIA CALL CENTER REPRESENTATIVE (PHONE) ON 03JAN2023. CONSUMER REPORTED THAT "LAST NIGHT I SPRAYED THE BIOTENE IN MY MOUTH AND IT GOT INTO MY AIRWAY AND MY THROAT GOT CONSTRICTED AND I COULDN'T BREATHE".

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
408083 BIOTENE MOUTH SPRAY (UNKNOWN) ORAL SPRAY LFD ULTRADENT PRODUCTS INC/ORATECH LLC BPB9N

Patients

Seq Age Sex Outcome Treatment
1 68 YR Female Other