FDA Adverse Event
Injury
Summary report: N
OMNIARCH GOLDEN BRACKETS
MDR report key: 503972
·
Received December 31, 2003
Report
- Report Number
- 2418500-2003-00284
- Event Type
- Injury
- Date Received
- December 31, 2003
- Date of Event
- December 4, 2003
- Report Date
- December 4, 2003
- Manufacturer
- DENTSPLY GAC INTERNATIONAL
- Product Code
- EJF
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Occupation
- UNKNOWN
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | OMNIARCH GOLDEN BRACKETS | ORTHODONTIC BRACKET | EJF | DENTSPLY GAC INTERNATIONAL | UNK | UNK |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | UNKNOWN | Required Intervention |