BEUDAMED
    FDA Adverse Event Injury Summary report: N

    UNK

    MDR report key: 838848 · Received April 11, 2007

    Report

    Report Number
    MW1042587
    Event Type
    Injury
    Date Received
    April 11, 2007
    Date of Event
    January 29, 2007
    Report Date
    April 11, 2007
    Manufacturer
    UNK
    Product Code
    LZK
    Adverse Event
    Yes
    Report Source
    Voluntary report
    Reporter Location
    NV, US
    Reporter Occupation
    NURSE

    Narratives

    Description of Event or Problem · 1

    DESCRIBE EVENT: REMOVE CHIN IMPLANT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 UNK CHIN IMPLANT LZK UNK UNK UNK

    Patients

    Seq Age Sex Outcome Treatment
    1 65 YR