BEUDAMED
    FDA Adverse Event Injury Summary report: N

    UNK

    MDR report key: 302485 · Received October 28, 2000

    Report

    Report Number
    302485
    Event Type
    Injury
    Date Received
    October 28, 2000
    Date of Event
    September 1, 2000
    Report Date
    October 26, 2000
    Manufacturer
    UNK
    Product Code
    JAZ
    Product Problem
    Yes
    Report Source
    User Facility report
    Reporter Location
    PA, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    PT REPORTED JAW IMPLANT PLACED BY "UNKNOWN" DENTIST APPROX 10 YEARS AGO. CAUSATIVE FOR OSTEOMYELITIS TYPE INFECTION OF THE LEFT MANDIBLE WARRANTING IMPLANT REMOVAL WITH BONE GRAFT REPAIR.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 UNK MANDIBLE IMPLANT JAZ UNK * *

    Patients

    Seq Age Sex Outcome Treatment
    1 26 YR Required Intervention