BEUDAMED
    FDA Adverse Event Injury Summary report: N

    UNKNOWN

    MDR report key: 1567464 · Received December 28, 2009

    Report

    Report Number
    MW5014144
    Event Type
    Injury
    Date Received
    December 28, 2009
    Date of Event
    December 8, 2009
    Report Date
    December 28, 2009
    Manufacturer
    UNK
    Product Code
    JAZ
    Adverse Event
    Yes
    Report Source
    Voluntary report
    Reporter Location
    NV, US
    Reporter Occupation
    NURSE

    Narratives

    Description of Event or Problem · 1

    REMOVE AND REPLACE BILATERAL MANDIBLE IMPLANTS.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 UNKNOWN UNKNOWN JAZ UNK UNK UNK

    Patients

    Seq Age Sex Outcome Treatment
    1 43 YR