inforMED
InjuryEMA

IRM LIQUID 15ML

Received Mar 19, 2025 · Event occurred Mar 6, 2025

Report 8010638-2025-00002 · MDR key 21641488

Device

Generic name

Cement, Dental

Catalog number

606.61.510

Lot number

UNK

Product problems

  • Patient-Device Incompatibility
  • Patient-Device Incompatibility

Patient

NA · Unknown

  • Hypersensitivity/Allergic reaction
  • Hypersensitivity/Allergic reaction

Narrative

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 WAS NOT RETURNED FOR EVALUATION AND THE LOT NUMBER WAS NOT PROVIDED FOR RETAINED-PRODUCT TESTING AND/OR DHR REVIEW.

Description of Event or Problem

IN THIS EVENT IT IS REPORTED THAT IRM LIQUID 15ML THAT WAS USED IN TREATMENT, THE PATIENT DEVELOPED AN ALLERGIC REACTION AND HAD TO BE HOSPITALIZED. NO INFORMATION ABOUT SIGNS AND SYMPTOMS HAS BEEN SHARED.