FDA Adverse Event Injury Summary report: N

BREATHE RIGHT NASAL STRIPS

MDR report key: 6210518 · Received December 28, 2016

Report

Report Number
2320643-2016-00014
Event Type
Injury
Date Received
December 28, 2016
Report Date
December 19, 2016
Manufacturer
WEBTEC A DIVISION OF SCARPA HEALTHCARE
Product Code
LWF
PMA / PMN Number
EXEMPT
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Occupation
PATIENT

Narratives

Additional Manufacturer Narrative · 1

THIS REPORT IS ASSOCIATED WITH ARGUS CASE (B)(4), BREATHE RIGHT NASAL STRIPS.

Description of Event or Problem · 1

ADDICTED TO BREATHE RIGHT NASAL STRIPS. CASE DESCRIPTION: THIS CASE WAS REPORTED BY A CONSUMER AND DESCRIBED THE OCCURRENCE OF ADDICTION IN A MALE PATIENT WHO RECEIVED BREATHE RIGHT NASAL STRIPS NASAL STRIP (BATCH NUMBER UNK, EXPIRY DATE UNKNOWN) FOR PRODUCT USED FOR UNKNOWN INDICATION. ON AN UNKNOWN DATE, THE PATIENT STARTED BREATHE RIGHT NASAL STRIPS. ON AN UNKNOWN DATE, AN UNKNOWN TIME AFTER STARTING BREATHE RIGHT NASAL STRIPS, THE PATIENT EXPERIENCED ADDICTION (SERIOUS CRITERIA GSK MEDICALLY SIGNIFICANT AND OTHER: GSK MEDICALLY SIGNIFICANT ). BREATHE RIGHT NASAL STRIPS WAS CONTINUED WITH NO CHANGE. ON AN UNKNOWN DATE, THE OUTCOME OF THE ADDICTION WAS UNKNOWN. THE REPORTER CONSIDERED THE ADDICTION TO BE RELATED TO BREATHE RIGHT NASAL STRIPS. ADDITIONAL DETAILS, ADVERSE EVENT INFORMATION WAS RECEIVED ON 19 DECEMBER 2016. CONSUMER INDICATED THAT HE WAS ADDICTED TO BREATHE RIGHT NASAL STRIPS (VARIANT NOT SPECIFIED).

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
858133 BREATHE RIGHT NASAL STRIPS NASAL STRIPS LWF WEBTEC A DIVISION OF SCARPA HEALTHCARE UNK

Patients

Seq Age Sex Outcome Treatment
1 Other