inforMED
InjuryEBC

VENUS DIAMON FLOW SYR

Received Sep 10, 2013

Report 9610902-2013-00096 · MDR key 3353161

Device

Generic name

Ebc Sealant, Pit And Fissure, And Condi

Product problems

  • Use of Device Problem

Patient

Not reported

  • Sensitivity of Teeth

Narrative

Description of Event or Problem

PLEASE REFER TO IMPORTER REPORT # (B)(4).

Additional Manufacturer Narrative

AS ALLOWED BY EXEMPTION# (B)(4), (THE IMPORTER) IS SUBMITTING THE REPORT ON BEHALF OF HERAEUS KULZER (B)(4) (THE MFR). ALTHOUGH WE HAVE NOT ESTABLISHED THAT THE DEVICE CAUSED OR CONTRIBUTED TO THE EVENT, WE'RE REPORTING IT TO BE COMPLAINT WITH 21 CFR PART 803 AND OUT OF AN ABUNDANCE OF CAUTION.

Remedial action

  • Replace