BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    MINERVA 30G SHORT

    MDR report key: 889609 · Received August 19, 2004

    Report

    Report Number
    1412902-2004-00390
    Event Type
    Malfunction
    Date Received
    August 19, 2004
    Report Date
    June 7, 2004
    Manufacturer
    DENTSPLY MPL
    Product Code
    DZM
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Occupation
    DENTIST

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 MINERVA 30G SHORT DENTAL NEEDLE DZM DENTSPLY MPL NA 9270

    Patients

    Seq Age Sex Outcome Treatment
    1 YR Other