BEUDAMED
    FDA Adverse Event Other Summary report: N

    MICRO-ANGLE ATTACHMENT, 70 DEGREE

    MDR report key: 463036 · Received May 23, 2003

    Report

    Report Number
    1017294-2003-00031
    Event Type
    Other
    Date Received
    May 23, 2003
    Date of Event
    April 30, 2003
    Report Date
    April 30, 2003
    Manufacturer
    LINVATEC COR.
    Product Code
    GET
    Adverse Event
    Yes
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    MS, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    A BURN OCCURRED ON LOWER LEFT LIP OF THE PT. THE AREA WAS APPROX 2-3CM IN DIAMETER AND TOOK OFF THE FIRST LAYER OF SKIN. ONLY INTERVENTION REQUIRED WAS VASELINE ON THE SITE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 MICRO-ANGLE ATTACHMENT, 70 DEGREE DENTAL ATTACHMENT GET LINVATEC COR. NA AUG00

    Patients

    Seq Age Sex Outcome Treatment
    1 32 YR Other