OCCLUDE ARTICULATION SPRAY
Received May 22, 2012 · Event occurred Feb 9, 2012
Report 3011632-2012-00002 · MDR key 2588148
Device
Generic name
Dental Articulation Spray
Manufacturer
Pascal Co., Inc.Model number
NACatalog number
05300
Lot number
UNK
Product problems
- Insufficient Device Problem Information
Patient
UNK
- Chest Pain
- Dyspnea
- Swelling
- Thyroid Problems
- Confusion/ Disorientation
Narrative
Description of Event or Problem
THE PT CONTACTED OUR OFFICE REPORTING AN ADVERSE REACTION TO OUR PRODUCT, OCCLUDE ARTICULATION SPRAY. SYMPTOMS INCLUDED COUGH AND TICKLE IN THE THROAT AT THE TIE OF THE DENTAL PROCEDURE. DURING THE COURSE OF THE FOLLOWING FEW WEEKS SINCE THE DATE OF EVENT THE PT EXPERIENCED DISORIENTATION, LOSS OF APPETITE, SWELLING OF AIRWAY, DIFFICULTY BREATHING, CHEST PAINS, SWOLLEN LIVER, AND HYPERTHYROIDISM. THE PT WAS REQUESTING A LIST OF INGREDIENTS TO DETERMINE WHAT, IF ANY, COULD HAVE CAUSED THESE SYMPTOMS. THE PT WENT TO THE HOSPITAL EMERGENCY ROOM. IT WAS UNCLEAR FROM THE PT WHAT TREATMENT SHE RECEIVED, OR THE FULL EXTENT OF ANY TESTS PERFORMED. ONE TEST THAT SHE SAID WAS PERFORMED WAS FOR LIVER ENZYMES, WHICH WERE REPORTED TO BE VERY HIGH. THE PT REFUSED TO SUPPLY THE NAME OF THE DENTIST OR THE CLINIC. SHE STATED THAT SHE WANTED TO WAIT UNTIL THE DENTIST COMPLETED THE PROCEDURE BEFORE HE BECAME INFORMED OF HER INQUIRIES. THE PT SOUGHT MEDICAL ATTENTION AFTER THE EMERGENCY VISIT. THE PHYSICIAN INFORMED HER THAT SHE HAD BEEN "POISONED" AND REQUIRED DETOXIFICATION MEASURES. THE PHYSICIAN ADMINISTERED AN INTRAVENOUS VITAMIN C AND GLUTATHIONE OVER THE COURSE OF SEVERAL WEEKS. ON (B)(6), THE PT PROVIDED THE NAME OF THE DENTIST. I CONTACTED THE CLINIC AND WAS TOLD BY THE REP THAT THE PT GAVE EXPRESSED INSTRUCTIONS NOT TO DIVULGE ANY INFO; THAT THE PT WANTED TO BE THE SOLE PROVIDER OF INFO. THE REP INFORMED ME THAT THE CLINIC GAVE THE PT THE UNIT OF OCCLUDE FOR HER TO CONDUCT ALLERGY TESTS. I CONTACTED THE PT REQUESTING THE LOT NUMBER, BUT WAS UNSUCCESSFUL IN OBTAINING IT. THE CLINIC SAID THAT THE PT HAD PROVIDED THE CLINIC A LIST OF APPROVED DRUGS FOR ANY PROCEDURES. THE PT SAID THAT SHE WAS ALLERGIC TO CERTAIN DYES, AND HAS A GENERAL SENSITIVITY TO MANY CHEMICALS. SHE SAID THAT SHE SUSPECTED THE PROPELLANT, ISOBUTANE, WAS THE CAUSE OF HER SYMPTOMS.