BEUDAMED
    FDA Adverse Event Injury Summary report: N

    NARVAL CC ORTHESE MRD

    MDR report key: 4039893 · Received July 30, 2014

    Report

    Report Number
    3007573469-2014-00007
    Event Type
    Injury
    Date Received
    July 30, 2014
    Date of Event
    July 1, 2014
    Report Date
    July 30, 2014
    Manufacturer
    RESMED SAS
    Product Code
    LQZ
    Adverse Event
    Yes
    Report Source
    Distributor report
    Reporter Location
    IA, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    IT WAS REPORTED TO RESMED RMT THAT THE NARVAL CC MANDIBULAR REPOSITIONING DEVICE CONTRIBUTED TO A TOOTH LOSS.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    445883 NARVAL CC ORTHESE MRD LQZ RESMED SAS 200002

    Patients

    Seq Age Sex Outcome Treatment
    1 Disability