D
Patient 1
A TECHNICAL SUPPORT FROM DEALER REPORTED THAT THE MECHANICAL STRUCTURE OF A PREVA INTRA-ORAL X-RAY UNIT, (B)(4), SEPARATED FROM THE WALL. NO INJURY WAS REPORTED.
MAUDE MDR 1679314
- MDR report key
- 1679314
- Report number
- 1423380-2010-00004
- Event key
- 0
- Event type
- 3
- Date of event
- 2010-04-05
- Date received
- 2010-05-04
- Adverse event
- 3
- Product problem
- 3
- Patients in event
- 0
- Reporter occupation
- 116
- Health professional
- 3
- Initial report to FDA
- 3
- Event location
- 0
Manufacturer Contact#
- Contact
- LISA BARTAKOVICS
- Address
- 675 HEATHROW DR LINCOLNSHIRE IL 60069 US
- Phone
- 847-847-8474
- Report source
- M
- Manufacturer link flag
- Y
Devices#
| Seq | Brand | Generic | Manufacturer | Product code | Model | Catalog | Lot | PMA | 510(k) | Implant | Evaluated | Availability |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1 | PROGENY PREVA | MIDMARK CORP | MUH | PREVA | P7017 | R | Y |
Patients#
| Sequence | Received | Treatment | Outcome |
|---|---|---|---|
| 1 | 2010-05-04 | 0 |