DENTAL AMALGAM

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2014-05-19 for DENTAL AMALGAM manufactured by .

Event Text Entries

[4403924] Dental amalgam is effecting my nervous system by causing my sensory nerves to be stimulated creating feelings like neuropathy and nerve conduction. It is also causing my motor neurons to be stimulated making my muscles twitch and pulsate to various degrees.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report NumberMW5036187
MDR Report Key3829826
Date Received2014-05-19
Date of Report2014-05-16
Date of Event2014-05-15
Date Added to Maude2014-05-27
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 Professional0
Initial Report to FDA3
Report to FDA0
Event Location0
Single Use0
Previous Use Code0
Event Type3
Type of Report3

Device Details

Brand NameDENTAL AMALGAM
Generic NameNONE
Product CodeEJJ
Date Received2014-05-19
OperatorOTHER
Device Sequence No1
Device Event Key0


Patients

Patient NumberTreatmentOutcomeDate
101. Other; 2. Deathisabilit 2014-05-19

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