DENTAL AMALGAM FILLINGS

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2019-11-22 for DENTAL AMALGAM FILLINGS manufactured by Unk.

MAUDE Entry Details

Report NumberMW5091279
MDR Report Key9369095
Date Received2019-11-22
Date of Report2019-11-21
Date of Event2014-07-01
Date Added to Maude2019-11-25
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 Use0
Previous Use Code0
Event Type3
Type of Report0

Device Details

Brand NameDENTAL AMALGAM FILLINGS
Generic NameALLOY, AMALGAM
Product CodeEJJ
Date Received2019-11-22
Device AvailabilityY
Device Sequence No1
Device Event Key0
ManufacturerUNK
Manufacturer AddressUNK UNK


Patients

Patient NumberTreatmentOutcomeDate
10 2019-11-22

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