BEUDAMED
    FDA Adverse Event Injury Summary report: N

    DENTO-SURG 90 FFP

    MDR report key: 285906 · Received July 17, 2000

    Report

    Report Number
    2428235-2000-00004
    Event Type
    Injury
    Date Received
    July 17, 2000
    Date of Event
    November 16, 1998
    Report Date
    July 17, 2000
    Manufacturer
    ELLMAN INTERNATIONAL INC.
    Product Code
    EKZ
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    GA, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    BONE DEATH WITH NECROSIS OF EPITHELIAL ATTACHMENT RE: TOOTH #11.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 DENTO-SURG 90 FFP RADIOSURGERY GENERATOR EKZ ELLMAN INTERNATIONAL INC. 90 FFP NA

    Patients

    Seq Age Sex Outcome Treatment
    1 UNKNOWN Other