BEUDAMED
    FDA Adverse Event Other Summary report: N

    ORTHODONTIC ARCH WIRE

    MDR report key: 988452 · Received January 23, 2008

    Report

    Report Number
    MW5005075
    Event Type
    Other
    Date Received
    January 23, 2008
    Date of Event
    September 14, 2007
    Report Date
    January 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

    ORTHODONTIC ARCH WIRES-STAINLESS STEEL .016 X .022 NAT LWR MISLABELED AS NAT UPR.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 ORTHODONTIC ARCH WIRE DZC HIGHLAND METALS INC 9043

    Patients

    Seq Age Sex Outcome Treatment
    1 YR