inforMED
InjuryNTO

PERIOSHIELD ORAL RINSE

Received Jul 15, 2021 · Event occurred Jun 30, 2021

Report 1413787-2021-00011 · MDR key 12172530

Device

Generic name

Oral Rinse

Model number

1775P

Lot number

04Z

Product problems

  • Nonstandard Device

Patient

59 YR

  • Unspecified Infection
  • Unspecified Infection

Narrative

Additional Manufacturer Narrative

THIS IS A RECALL PRODUCT.

Description of Event or Problem

PATIENT USED PRODUCT AFTER HAVING THEIR TOOTH PULLED IN (B)(6) 2021 AND EXPERIENCED SEVERE INFECTION IN THEIR JAW. PATIENT HAS BEEN ON ANTIBIOTICS FOR ABOUT 3 MONTHS AND HAS BEEN HOSPITALIZED TWICE.