inforMED
InjuryEID

EXTRUDE WASH

Received Nov 1, 2011 · Event occurred Sep 29, 2011

Report 1815757-2011-00003 · MDR key 2318223

Device

Generic name

Syringe, Restorative And Impression Material

Manufacturer

Kerr Corporation

Catalog number

28418

Lot number

9-1177

Product problems

  • Improper or Incorrect Procedure or Method

Patient

Not reported

  • Rash

Narrative

Additional Manufacturer Narrative

A PHYSICAL TESTS INCLUDING COMPRESSION SET AND WORK TIME WERE PERFORMED ON THE RETURNED MATERIAL WHICH INDICATED THAT THE PRODUCT MET SPECIFICATIONS. TIP OF THE RETURNED CARTRIDGE APPEARS TO HAVE BEEN MODIFIED BY THE DOCTOR AND THE EXTRUDE WASH RETURNED WITH AN INCORRECT TIP ATTACHED TO IT.

Description of Event or Problem

ON (B)(6), DOCTOR PREPPED A PATIENT FOR A CROWN. HE USED Z100 FLOWABLE FOR TEMPORARY MATERIAL AND USED NO TEMPORARY CEMENT. THE NEXT DAY (B)(6), 2011 THE PATIENT CALLED COMPLAINING OF A RASH ON THE SIDE OF HER TONGUE AND RETURNED TO THE DOCTOR'S OFFICE. THE DOCTOR ADVISED HER TO TAKE BENADRYL AND GAVE HER A PRESCRIPTION FOR ORABASE. THE DOCTOR CALLED THE PATIENT SEVERAL TIMES SINCE THE INCIDENT, BUT DID NOT RECEIVE A RETURN CALL. SHE ASSUMES EVERYTHING IS OK. THE DOCTOR SAID THE PATIENT WAS PROBABLY ALLERGIC TO VINYL. THERE HAVE BEEN NO INDICATION OF ANY FURTHER HEALTH CONCERNS.

Additional Manufacturer Narrative

AN EVALUATION OF THE RETURNED PRODUCT WAS CONDUCTED INCLUDING COMPRESSION SET AND WORK TIME. RESULTS OF THE EVALUATION INDICATES THE PRODUCT MET SPECIFICATIONS. IN ADDITION, THE TIP OF THE RETURNED CARTRIDGE APPEARS TO HAVE BEEN MODIFIED BY THE DOCTORAND IT WAS NOT THE CORRECT TIP THAT WAS SUPPOSED TO HAVE BEEN USED WITH THIS PRODUCT.

Description of Event or Problem

ON (B)(6), A DOCTOR PREPPED A PATIENT FOR A CROWN. HE USED Z100 FLOWABLE FOR TEMPORARY MATERIAL AND USED NO TEMPORARY CEMENT. THE NEXT DAY (B)(6), 2011 THE PATIENT CALLED COMPLAINING OF A RASH ON THE SIDE OF HER TONGUE AND RETURNED TO THE DOCTOR'S OFFICE. THE DOCTOR ADVISED HER TO TAKE BENADRYL AND GAVE HER A PRESCRIPTION FOR ORABASE. THE DOCTOR CALLED THE PATIENT SEVERAL TIMES SINCE THE INCIDENT, BUT DID NOT RECEIVE A RETURN CALL. SHE ASSUMES EVERYTHING IS OK. THE DOCTOR SAID THE PATIENT WAS PROBABLY ALLERGIC TO VINYL. THERE HAVE BEEN NO INDICATION OF ANY FURTHER HEALTH CONCERNS.