FDA Adverse Event
Injury
Summary report: N
NO INFORMATION
MDR report key: 15207668
·
Received August 11, 2022
Report
- Report Number
- 9613866-2022-00001
- Event Type
- Injury
- Date Received
- August 11, 2022
- Manufacturer
- UNKNOWN
- Product Code
- DZE
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- CA
- Reporter Occupation
- DENTIST
- Health Professional
- Yes
Narratives
Additional Manufacturer Narrative · 0
PATIENT IS UNSURE IF HE SWALLOWED A DENTAL ABUTMENT 1 YEAR AGO. PATIENT IS OK NO FURTHER DETAILS AVAILABLE. NO INFORMATION ABOUT PATIENT, PRODUCT OR MANUFACTURER. PATIENT SPOKE TO DENTIST AND CONTINUES TO BE IN GOOD HEALTH.
Description of Event or Problem · 0
PATIENT IS UNSURE IF HE SWALLOWED A DENTAL ABUTMENT 1 YEAR AGO. PATIENT IS OK NO FURTHER DETAILS AVAILABLE.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 2167142 | NO INFORMATION | NO INFORMATION | DZE | UNKNOWN | UNKNOWN |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | Unknown | Required Intervention |