BEUDAMED
    FDA Adverse Event Summary report: N

    *

    MDR report key: 338154 · Received June 15, 2001

    Report

    Report Number
    2953138-2001-00114
    Date Received
    June 15, 2001
    Date of Event
    May 17, 2001
    Report Date
    May 17, 2001
    Manufacturer
    PACIFIC RIM DENTAL, INC.
    Product Code
    ---
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Occupation
    INVALID DATA

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    27771 * * --- PACIFIC RIM DENTAL, INC. * *

    Patients

    Seq Age Sex Outcome Treatment
    1 UNKNOWN Required Intervention