BEUDAMED
    FDA Adverse Event Injury Summary report: N

    PEDO PEARLS

    MDR report key: 526247 · Received October 2, 2003

    Report

    Report Number
    MW1032002
    Event Type
    Injury
    Date Received
    October 2, 2003
    Date of Event
    July 1, 2003
    Report Date
    September 1, 2003
    Manufacturer
    PEDO PEARLS
    Product Code
    ELZ
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    CA, US
    Reporter Occupation
    DENTIST

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 PEDO PEARLS DENTAL PEDIATRIC CROWNS ELZ PEDO PEARLS * *

    Patients

    Seq Age Sex Outcome Treatment
    1 * Required Intervention