inforMED
InjuryOFX

BYTE IMPRESSION KIT

Received Dec 19, 2024

Report 3014845255-2024-03154 · MDR key 20977945

Device

Generic name

General Purpose Dental Tray

Model number

KIT

Catalog number

NA

Lot number

230903

Product problems

  • Patient-Device Incompatibility
  • Patient-Device Incompatibility

Patient

NA · Unknown

  • Hypersensitivity/Allergic reaction
  • Swelling/ Edema
  • Hypersensitivity/Allergic reaction
  • Swelling/ Edema

Narrative

Description of Event or Problem

IT WAS REPORTED BY THE PATIENT THAT THE LAST TIME THEY DID THE IMPRESSIONS WITH THE IMPRESSION KIT - PUTTY THE PATIENT HAD A REACTION AND A LOT OF SWELLING AND WENT TO URGENT CARE. INQUIRED IF THERE IS ANY ALTERNATIVES FOR THE IMPRESSIONS.

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. THIS MDR IS BEING SUBMITTED AS A PART OF A RETROSPECTIVE REVIEW AND REMEDIATION EFFORT BASED ON ENHANCEMENTS AND HARMONIZATION MADE TO THE COMPANY'S COMPLAINT HANDLING PROCESSES. THERE IS NO CHANGE TO DEVICE PERFORMANCE OR TO THE DEVICE RISK PROFILE. A CAPA (2023-487) HAS BEEN OPENED TO MANAGE THE ACTIONS RELATED TO REMEDIATION OF COMPLAINT FILES AND ANY REQUIRED MDR REPORTING. THIS RETROSPECTIVE REVIEW INCLUDES THE DATE RANGE OF 05/17/2021 THROUGH 09/17/2024.