inforMED

ACID ETCH TOOTH CONDITIONER GEL

Received Jan 29, 1996 · Event occurred Nov 10, 1995

Report MW1008216 · MDR key 29573

Device

Generic name

Tooth Conditioner Gel

Manufacturer

Ld Caulk/dentsply

Model number

646100

Product problems

  • Material Separation
  • Tip breakage

Patient

65 YR

  • Surgical procedure

Narrative

Description of Event or Problem

THE GEL IS CONTAINED IN SYRINGE SYSTEM WITH A REPLACEABLE STERILE TIP. AS THE DENTIST WAS INSERTING THE CONDITIONER, THE TIP SEPARATED AND FELL INTO THE PT'S MOUTH. PT WENT TO THE ER AND REQUIRED A BRONCHOSCOPY TO RETRIEVE THE TIP.