inforMED
InjuryEIG

OPTIVIEW SMALL KIT

Received Feb 8, 2021

Report 8031023-2016-00003 · MDR key 11298472

Device

Generic name

Lip And Cheek Retractor

Manufacturer

Kerr Hawe Sa

Catalog number

5502

Product problems

  • Patient-Device Incompatibility
  • Patient-Device Incompatibility

Patient

35 YR

  • Hypersensitivity/Allergic reaction
  • Pain
  • Ulcer
  • Swelling/ Edema
  • Hypersensitivity/Allergic reaction
  • Pain
  • Ulcer
  • Swelling/ Edema

Narrative

Additional Manufacturer Narrative

THE SYMPTOMS WERE TREATED WITH BENTELAN. TO DATE, THE PATIENT IS DOING FINE. THE PRODUCT WAS NOT RETURNED AND NO LOT NUMBER WAS PROVIDED; THEREFORE, NO EVALUATION WAS CONDUCTED.

Description of Event or Problem

A DENTIST INDICATED TWO (2) PATIENTS EXPERIENCED AN ALLERGIC REACTION RESULTING IN SWOLLEN LIPS, PAIN, AND ULCERS APPROXIMATELY TWO HOURS AFTER TREATMENT INVOLVING OPTIVIEW SMALL KIT. THIS IS THE SECOND OF TWO REPORTS.