FDA Adverse Event Injury Summary report: N

DENTAL POWDER

MDR report key: 32255 · Received April 25, 1996

Report

Report Number
MW1008961
Event Type
Injury
Date Received
April 25, 1996
Manufacturer
UNKNOWN
Product Code
EJR
Product Problem
Yes
Report Source
Voluntary report
Reporter Occupation
PATIENT

Narratives

Description of Event or Problem · 1

PRODUCT DOES NOT LIST IT'S CONTENTS WHICH ARE SWALLOWED WITH FOOD AT MEALS. THEY HOLD DENTAL PLATED WHEN FIRST APPLIED. VERY LITTLE REMAINS AT END OF THE DAY. RPTR ASKS CAN THE "GLUE" CONTENTS BE A HEALTH HAZARD AND ISN'T IT ILLEGAL NOT TO LIST CONTENTS. (ALSO SEE 1008960).

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 DENTAL POWDER POLISHING AGENT EJR UNKNOWN

Patients

Seq Age Sex Outcome Treatment
1 86 YR Required Intervention