InjuryNTO
GUM PERIO SHIELD
Received Aug 26, 2021 · Event occurred Jan 1, 2021
Report MW5103524 · MDR key 12377136
Device
Generic name
Rinse, Oral, Antibacterial (by Physical Means)
Lot number
"02A,02A,01A,02Z"
Product problems
- Contamination
Patient
71 YR
- Unspecified Infection
- Skin Disorders
- Unspecified Infection
- Skin Disorders
Narrative
Description of Event or Problem
THE (B)(4) - GUM - 1775R PERIOSHIELD ORAL HEALTH RINSE, 10 OUNCE BOTTLE USED THIS CONTAMINATED PRODUCT IN CONJUNCTION WITH A FACE MASK AND CAUSED INFECTIONS ON THE SKIN. REPORTED TO THE MANUFACTURER - REFERRED TO MANUFACTURER 6/28/2021 SAID WOULD RESPOND, NO RESPONSE.