BEUDAMED
    FDA Adverse Event Injury Summary report: N

    DENTAL CAP SCAN

    MDR report key: 3905583 · Received June 30, 2014

    Report

    Report Number
    MW5036896
    Event Type
    Injury
    Date Received
    June 30, 2014
    Date of Event
    May 23, 2014
    Report Date
    June 30, 2014
    Manufacturer
    UNK
    Product Code
    NOF
    Adverse Event
    Yes
    Report Source
    Voluntary report
    Reporter Location
    AZ, US
    Reporter Occupation
    PATIENT

    Narratives

    Description of Event or Problem · 1

    THE REPORTER HAD SEVERAL PROBLEMS AT VARIOUS STAGES OVER THE NEXT 3 WEEKS. SHE HAD A DAY OF TINGLING IN THE MOUTH AND THROAT THAT LASTED FOR SEVERAL DAYS, PAIN AND TINGLING AT THE BASE OF HER TEETH THAT WAS SIGNIFICANT BUT DID NOT LAST A LONG. ALSO HAD SWOLLEN SALIVA GLANDS. THE DAY FOLLOWING THE SCAN HER NOSE WAS RUNNING LIKE A FAUCET. ALSO HAD DIFFICULTY SWALLOWING ESPECIALLY CAPSULES AND TABLETS, SHORTNESS OF BREATH AND HER THROAT FELT SWOLLEN. THIS LASTED FOR ABOUT 3 WEEKS. ALSO HAD A PROBLEM WITH MUSCULAR CONTROL; DIFFICULTY WALKING AND LIFTING OBJECTS.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    380044 DENTAL CAP SCAN DENTAL SCAN NOF UNK

    Patients

    Seq Age Sex Outcome Treatment
    1 76 YR