DENTAL CAP SCAN

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2014-06-30 for DENTAL CAP SCAN manufactured by Unk.

Event Text Entries

[4673343] The reporter had several problems at various stages over the next 3 weeks. She had a day of tingling in the mouth and throat that lasted for several days, pain and tingling at the base of her teeth that was significant but did not last a long. Also had swollen saliva glands. The day following the scan her nose was running like a faucet. Also had difficulty swallowing especially capsules and tablets, shortness of breath and her throat felt swollen. This lasted for about 3 weeks. Also had a problem with muscular control; difficulty walking and lifting objects.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report NumberMW5036896
MDR Report Key3905583
Date Received2014-06-30
Date of Report2014-06-30
Date of Event2014-05-23
Date Added to Maude2014-07-02
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 NameDENTAL CAP SCAN
Generic NameDENTAL SCAN
Product CodeNOF
Date Received2014-06-30
Device AvailabilityN
Device Sequence No1
Device Event Key0
ManufacturerUNK


Patients

Patient NumberTreatmentOutcomeDate
10 2014-06-30

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