BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    POLIGRIP

    MDR report key: 1998820 · Received February 17, 2011

    Report

    Report Number
    MW5019462
    Event Type
    Malfunction
    Date Received
    February 17, 2011
    Product Code
    KOL
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    IL, US
    Reporter Occupation
    PATIENT

    Narratives

    Description of Event or Problem · 1

    I WOULD NOTICE SORENESS AFTER USE OVER THE YEARS. I GOT SO I HAD TO START WALKING WITH A CANE. GOD BLESS EACH OF YOU! DOSE OR AMOUNT: SMALL AMOUNT, FREQUENCY: EVERYDAY.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 POLIGRIP DENTURE CREAM KOL

    Patients

    Seq Age Sex Outcome Treatment
    1 73 YR