inforMED
MalfunctionEMA

CALIBRA VEN TRY-IN 1.8GM MD RF

Received Jun 23, 2023

Report 2515379-2023-00083 · MDR key 17194487

Device

Generic name

Cement, Dental

Manufacturer

Dentsply Llc

Model number

607301

Catalog number

607302

Lot number

160930

Product problems

  • Patient-Device Incompatibility
  • Patient-Device Incompatibility

Patient

Unknown

  • Hypersensitivity/Allergic reaction
  • Hypersensitivity/Allergic reaction

Narrative

Additional Manufacturer Narrative

INVESTIGATION: PRODUCT WAS EXPIRED FIVE YEARS AGO. NOT ABLE TO INVESTIGATE. PRODUCT EXPIRED IN 2018. COMPLAINT WAS SUBMITTED IN 2023. NO DEFECT PROVEN.

Additional Manufacturer Narrative

WHILE IT IS UNKNOWN IF THE DEVICE USED IN THIS CASE CAUSED OR CONTRIBUTED TO THE PATIENT¿S SYMPTOMS, IT IS POSSIBLE AS ALLERGIC REACTIONS TO DENTAL MATERIALS ARE KNOWN AND REPORTED, WITH MEDICAL CONSEQUENCES BEING DEPENDENT UPON THE SEVERITY OF THE INDIVIDUAL ALLERGIC RESPONSE AND SUBSEQUENT EXPOSURE TO THE SAME MATERIAL. THEREFORE, THIS EVENT MEETS THE CRITERIA FOR REPORTABILITY PER 21 CFR PART 803. THE DEVICE IS AVAILABLE FOR EVALUATION, THOUGH HAS NOT BEEN RETURNED AS OF THIS REPORT. EVALUATION RESULTS WILL BE SUBMITTED AS THEY BECOME AVAILABLE.

Description of Event or Problem

IN THIS EVENT IT IS REPORTED THAT CALIBRA VEN TRY-IN 1.8GM LT RF THAT WAS USED ALLEGEDLY CAUSED A IRRIATIATION REACTION TO A PATIENT. NO INJURY REPORTED. FURTHER INFORMATION REQUESTED.