AMALGAM FILLING

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2010-05-07 for AMALGAM FILLING manufactured by Unk.

Event Text Entries

[1552468] I was diagnosed with multiple sclerosis in 1982. I now have gone to a doctor, who says i have mercury poisoning. I went and had all my mercury fillings taken out and replaced with white fillings. Mercury fillings need to be stopped here in the usa. Diagnosis or reason for use: cavity.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report NumberMW5015888
MDR Report Key1685983
Date Received2010-05-07
Date of Report2010-05-07
Date of Event1965-01-01
Date Added to Maude2010-05-17
Event Key0
Report Source CodeVoluntary report
Manufacturer LinkN
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag0
Reporter OccupationPATIENT
Health Professional3
Initial Report to FDA3
Report to FDA0
Event Location0
Single Use0
Previous Use Code0
Event Type3
Type of Report3

Device Details

Brand NameAMALGAM FILLING
Generic NameAMALGAM FILLING
Product CodeEJJ
Date Received2010-05-07
Lot NumberUNK
Device AvailabilityY
Device Sequence No1
Device Event Key0
ManufacturerUNK
Manufacturer AddressUNK UNK


Patients

Patient NumberTreatmentOutcomeDate
101. Required No Informationntervention 2010-05-07

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