MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 1994-01-31 for C & A DENTURE manufactured by C & A Dentures.
[8036]
Complainant has had severe reactions to her dentures. The complainant sites that she has had 3 dentures made by the same dental lab and she believes that the dental lab is causing her to become ill because of their misuse of methyl methacrylate, a sealer used in the preparation of the dentures.
Patient Sequence No: 1, Text Type: D, B5
| Report Number | MW4000089 |
| MDR Report Key | 11139 |
| Date Received | 1994-01-31 |
| Date of Report | 1993-03-12 |
| Date Added to Maude | 1994-02-01 |
| Event Key | 0 |
| Report Source Code | Voluntary report |
| Manufacturer Link | N |
| Number of Patients in Event | 0 |
| Adverse Event Flag | 3 |
| Product Problem Flag | 3 |
| Reprocessed and Reused Flag | 0 |
| Reporter Occupation | PATIENT |
| Health Professional | 3 |
| Initial Report to FDA | 0 |
| Report to FDA | 0 |
| Event Location | 3 |
| Single Use | 0 |
| Previous Use Code | 0 |
| Event Type | 3 |
| Type of Report | 3 |
| Brand Name | C & A DENTURE |
| Product Code | ELL |
| Date Received | 1994-01-31 |
| Operator | LAY USER/PATIENT |
| Device Availability | * |
| Implant Flag | N |
| Date Removed | B |
| Device Sequence No | 1 |
| Device Event Key | 11139 |
| Manufacturer | C & A DENTURES |
| Manufacturer Address | GREAT FALLS MT 59405 US |
| Patient Number | Treatment | Outcome | Date |
|---|---|---|---|
| 1 | 0 | 1994-01-31 |