MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2007-10-31 for METHYL METHACRYLATE MONOMER manufactured by .
[14866544]
New upper dental plate had chemical taste, burnt mouth, lips, tongue food taste horrible -lost 15 lbs in a months time - no appetite, loss of energy, spent 2 different nights in emergency room. It has affected my insulin and blood pressure. It's now 8 months later and no improvement. Dates of use: 2007.
Patient Sequence No: 1, Text Type: D, B5
| Report Number | MW5004288 |
| MDR Report Key | 938111 |
| Date Received | 2007-10-31 |
| Date of Report | 2007-10-18 |
| Date of Event | 2007-02-01 |
| Date Added to Maude | 2007-11-14 |
| Event Key | 0 |
| Report Source Code | Voluntary report |
| Manufacturer Link | N |
| Number of Patients in Event | 0 |
| Adverse Event Flag | 3 |
| Product Problem Flag | 3 |
| Reprocessed and Reused Flag | 3 |
| Reporter Occupation | PATIENT |
| Health Professional | 3 |
| Initial Report to FDA | 3 |
| Report to FDA | 0 |
| Event Location | 0 |
| Single Use | 0 |
| Previous Use Code | 0 |
| Event Type | 3 |
| Type of Report | 3 |
| Brand Name | METHYL METHACRYLATE MONOMER |
| Generic Name | UPPER DENTAL PLATE |
| Product Code | NSL |
| Date Received | 2007-10-31 |
| Implant Flag | N |
| Date Removed | B |
| Device Sequence No | 1 |
| Device Event Key | 912827 |
| Patient Number | Treatment | Outcome | Date |
|---|---|---|---|
| 1 | 0 | 1. Hospitalization | 2007-10-31 |