BEUDAMED
    FDA Adverse Event Injury Summary report: N

    DEEPAK PREHMA

    MDR report key: 2071819 · Received April 22, 2011

    Report

    Report Number
    MW5020378
    Event Type
    Injury
    Date Received
    April 22, 2011
    Date of Event
    April 5, 2011
    Report Date
    April 22, 2011
    Manufacturer
    DEEPAK PRODUCTS, INC
    Product Code
    DZM
    Adverse Event
    Yes
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    TX, US
    Reporter Occupation
    OTHER HEALTH CARE PROFESSIONAL

    Narratives

    Description of Event or Problem · 1

    DEEPAK PREHMA DENTAL NEEDLE - P/N 03-20110 - WAS SEPARATED FROM THE HUB IN PREPARATION FOR PATIENT CARE ON (B)(6) 2011.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 DEEPAK PREHMA DISPOSABLE DENTAL NEEDLES DZM DEEPAK PRODUCTS, INC 091104
    2 DEEPAK PREHMA DISPOSABLE DENTAL NEEDLES DZM DEEPAK PRODUCTS, INC 101102

    Patients

    Seq Age Sex Outcome Treatment
    1 Disability