COMPUTER GENERATED BRIDGE AND CROWN

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2017-12-07 for COMPUTER GENERATED BRIDGE AND CROWN manufactured by Unk.

Event Text Entries

[94408847] Pt reported area of dental bridge and crown was very sensitive and caused him pain to the point that they had to take it out and replaced it with a commercial type dental bridge and crown.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report NumberMW5073858
MDR Report Key7101207
Date Received2017-12-07
Date of Report2017-12-07
Date of Event2017-08-01
Date Added to Maude2017-12-08
Event Key0
Report Source CodeVoluntary report
Manufacturer LinkN
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Reporter OccupationPATIENT
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Single Use3
Previous Use Code3
Event Type3
Type of Report0

Device Details

Brand NameCOMPUTER GENERATED BRIDGE AND CROWN
Generic NameCROWN AND BRIDGE, TEMPORARY, RESIN
Product CodeEBG
Date Received2017-12-07
Device Availability*
Device Eval'ed by MfgrI
Device Sequence No1
Device Event Key0
ManufacturerUNK
Manufacturer AddressUNK UNK


Patients

Patient NumberTreatmentOutcomeDate
101. Other 2017-12-07

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