FDA.reportPublic FDA data

MAUDE MDR 9329041

MDR report key
9329041
Report number
3003721894-2019-00321
Event key
0
Event type
3
Date received
2019-11-15
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#

Address
PO BOX 13398 RESEARCH TRIANGLE PARK NC 27709 US
Phone
888-888-8888
Report source
M
Manufacturer link flag
Y

Devices#

Seq, Brand, Generic table
SeqBrandGenericManufacturerProduct codeModelCatalogLotPMA510(k)ImplantEvaluatedAvailability
1COREGA (UNSPECIFIED DENTURE ADHESIVE OR DENTURE CLEANSER)UNKNOWNGLAXOSMITHKLINE DUNGARVAN LTDKOTR *

Patients#

Sequence, Received, Treatment table
SequenceReceivedTreatmentOutcome
12019-11-1501. L; 2. O

Event Narratives#

No narrative records found.