BEUDAMED
    FDA Adverse Event Other Summary report: N

    ORTHO SOLO

    MDR report key: 886874 · Received August 24, 2004

    Report

    Report Number
    2016150-2004-00003
    Event Type
    Other
    Date Received
    August 24, 2004
    Date of Event
    January 1, 2004
    Report Date
    July 20, 2004
    Manufacturer
    ORMCO CORPORATION
    Product Code
    EBC
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Occupation
    DENTIST

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 ORTHO SOLO SEALER AND BOND ENHANCER EBC ORMCO CORPORATION NA UNK

    Patients

    Seq Age Sex Outcome Treatment
    1 YR Other