inforMED
MalfunctionEMA

CALIBRA UNIVERSAL CEMENT

Received Apr 1, 2021

Report 2515379-2021-00006 · MDR key 11606599

Device

Generic name

Cement, Dental

Model number

NA

Catalog number

607405

Lot number

000590592

Product problems

  • Unexpected Color

Patient

Not reported

  • Insufficient Information
  • Appropriate Clinical Signs, Symptoms and Conditions Term/Code Not Available
  • Insufficient Information
  • Appropriate Clinical Signs, Symptoms and Conditions Term/Code Not Available

Narrative

Additional Manufacturer Narrative

THE DEVICE WAS NOT EVALUATED BECAUSE THIS IS A KNOWN ISSUE WITH THIS LOT/BATCH NUMBER AND A CAPA HAS BEEN OPENED TO CORRECT THE ISSUE.

Additional Manufacturer Narrative

IF THIS MALFUNCTION RECURRED, IT COULD CAUSE OR CONTRIBUTE TO A SERIOUS INJURY OR REQUIRE MEDICAL OR SURGICAL INTERVENTION TO PRECLUDE SUCH. THIS EVENT, THEREFORE, IS REPORTABLE PER 21CFR PART 803. THE DEVICE IS AVAILABLE FOR EVALUATION, THOUGH RESULTS ARE NOT AVAILABLE AS OF THIS REPORT. EVALUATION RESULTS WILL BE SUBMITTED AS THEY BECOME AVAILABLE.

Description of Event or Problem

IT WAS REPORTED THAT AFTER CURING CALIBRA UNIVERSAL TRANSLUCENT, THE COLOR WAS OFF. THE CLINICIAN HAD TO REMOVE AND REPLACE THE MATERIAL.