MAUDE MDR 8981433

MDR report key
8981433
Report number
1017768-2019-00678
Event key
0
Event type
3
Date of event
2019-08-28
Date received
2019-09-10
Adverse event
3
Product problem
3
Patients in event
0
Reporter occupation
0
Health professional
3
Initial report to FDA
3
Event location
3

Manufacturer Contact#

Contact
JILL SARAIVA
Address
15 HAMPSHIRE STREET MANSFIELD MA 02048 US
Phone
508-508-5086
Report source
M
Manufacturer link flag
Y

Devices#

Seq, Brand, Generic table
SeqBrandGenericManufacturerProduct codeModelCatalogLotPMA510(k)ImplantEvaluatedAvailability
1401 DENTAL NDL 27LGNEEDLE, DENTALCOVIDIENDZM88814010568881401056913341R Y

Patients#

Sequence, Received, Treatment table
SequenceReceivedTreatmentOutcome
12019-09-1001. O

Event Narratives#

No narrative records found.