BEUDAMED
    FDA Adverse Event Injury Summary report: N

    WELLPATCH

    MDR report key: 5287173 · Received December 10, 2015

    Report

    Report Number
    1320681-2015-00013
    Event Type
    Injury
    Date Received
    December 10, 2015
    Date of Event
    November 8, 2015
    Report Date
    December 10, 2015
    Manufacturer
    THE MENTHOLATUM COMPANY
    Product Code
    IMD
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    PA, US
    Reporter Occupation
    PATIENT

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    818210 WELLPATCH PACK, HOT OR COLD, DISPOSABLE IMD THE MENTHOLATUM COMPANY 1506A6

    Patients

    Seq Age Sex Outcome Treatment
    1 69 YR Other