InjuryEBC
TOOTH CONDITIONER GEL
Received Jul 6, 1999 · Event occurred Jun 24, 1999
Report 2515379-1999-00007 · MDR key 230775
Device
Generic name
Tooth Conditioner Gel
Manufacturer
L.d. CaulkModel number
NACatalog number
646125
Lot number
UNK
Product problems
- Crack
- Spillage, accidental
Patient
UNKNOWN
- Eye Injury
- Other (for use when an appropriate patient code cannot be identified)
- Therapy/non-surgical treatment, additional
Narrative
Description of Event or Problem
THE TIP OF THE SYRINGE CRACKED AND MATERIAL SQUIRTED ONTO THE PT'S FACE AND THE BACK OF HER NECK, GETTING INTO THE PT'S EYE. THE PT WAS TREATED BY AN OPHTHALMOLOGIST. AT THIS POINT, THERE IS NO SWELLING OR ANY OTHER INDICATION OF DAMAGE.