FDA Adverse Event
Summary report: N
PERIOSHIELD
MDR report key: 12384772
·
Received August 27, 2021
Report
- Report Number
- MW5103562
- Date Received
- August 27, 2021
- Date of Event
- June 15, 2021
- Report Date
- August 25, 2021
- Product Code
- NTO
- Report Source
- Voluntary report
- Reporter Location
- CA, US
- Reporter Occupation
- UNKNOWN
Narratives
Description of Event or Problem · 1
PRODUCT HAS BEEN RECALLED.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1274979 | PERIOSHIELD | RINSE, ORAL, ANTIBACTERIAL (BY PHYSICAL MEANS) | NTO | 01A |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 61 YR |