BEUDAMED
    FDA Adverse Event Injury Summary report: N

    LATEX RUBBER DAM

    MDR report key: 32429 · Received April 29, 1996

    Report

    Report Number
    MW1008993
    Event Type
    Injury
    Date Received
    April 29, 1996
    Date of Event
    January 1, 1993
    Report Date
    April 22, 1996
    Manufacturer
    UNKNOWN
    Product Code
    EIE
    Adverse Event
    Yes
    Report Source
    Voluntary report
    Reporter Occupation
    NURSE

    Narratives

    Description of Event or Problem · 1

    7/95 RPTR HAD ROOT CANAL DENTAL WORK WITH RUBBER DAM RESULTING IN SEVERE SWELLING OF THROAT AND EYES. (ALSO SEE 1008971)

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 LATEX RUBBER DAM RUBBER DAM EIE UNKNOWN

    Patients

    Seq Age Sex Outcome Treatment
    1 58 YR Disability