BEUDAMED
    FDA Adverse Event Summary report: N

    PERIOSHIELD

    MDR report key: 12384764 · Received August 27, 2021

    Report

    Report Number
    MW5103561
    Date Received
    August 27, 2021
    Report Date
    August 25, 2021
    Product Code
    NTO
    Report Source
    Voluntary report
    Reporter Location
    US
    Reporter Occupation
    PATIENT

    Narratives

    Description of Event or Problem · 1

    PERIOSHIELD RECALL. WE HAVE 3 BOTTLES. TWO FROM LOT 02A, ONE FROM LOT 01A. RECOMMENDED BY DENTIST.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1277885 PERIOSHIELD RINSE, ORAL, ANTIBACTERIAL (BY PHYSICAL MEANS) NTO 01A
    1277886 PERIOSHIELD RINSE, ORAL, ANTIBACTERIAL (BY PHYSICAL MEANS) NTO 02A

    Patients

    Seq Age Sex Outcome Treatment
    1