BEUDAMED
    FDA Adverse Event Other Summary report: N

    ORTHODONTIC ARCH WIRE

    MDR report key: 1033400 · Received April 23, 2008

    Report

    Report Number
    MW5006376
    Event Type
    Other
    Date Received
    April 23, 2008
    Date of Event
    December 10, 2007
    Report Date
    April 23, 2008
    Manufacturer
    HIGHLAND METALS INC.
    Product Code
    DZC
    Report Source
    Voluntary report
    Reporter Location
    CA, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    STAINLESS STEEL ORTHODONTIC ARCH WIRE SIZE .018" NATURAL UPPER LOT# 9065 MISLABELED AS UPPER PACKAGE CONTAINED LOWER ARCH WIRE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 ORTHODONTIC ARCH WIRE DZC HIGHLAND METALS INC. 9065

    Patients

    Seq Age Sex Outcome Treatment
    1