inforMED
InjuryEMA

INTEGRITY TEMPGRIP

Received Jul 23, 2015

Report 2515379-2015-00047 · MDR key 4943404

Device

Generic name

Dental Cement

Manufacturer

Dentsply Caulk

Catalog number

666450

Lot number

UNK

Product problems

  • Patient-Device Incompatibility
  • Adverse Event Without Identified Device or Use Problem

Patient

Not reported

  • Swelling
  • Reaction

Narrative

Additional Manufacturer Narrative

MULTIPLE UNSUCCESSFUL ATTEMPTS WERE MADE TO OBTAIN THE PT OUTCOME. MULTIPLE UNSUCCESSFUL ATTEMPTS WERE MADE TO OBTAIN THE DEVICE FOR EVALUATION. THE DEVICE WAS NOT RETURNED FOR EVALUATION AND THE LOT NUMBER WAS NOT PROVIDED FOR RETAINED-PRODUCT TESTING AND/OR DHR REVIEW.

Description of Event or Problem

IN THIS EVENT, IT WAS REPORTED THAT AN UNKNOWN NUMBER OF PATIENTS EXPERIENCED SWOLLEN LIPS AFTER USE OF INTEGRITY TEMP GRIP CEMENT. THE EVENT OUTCOME IS UNKNOWN AS OF THIS MDR EVALUATION. ADDITIONAL INFORMATION HAS BEEN REQUESTED, BUT IS NOT YET AVAILABLE.

Additional Manufacturer Narrative

WHILE IT IS UNKNOWN IF THE DEVICE USED IN THIS CASE CAUSED OR CONTRIBUTED TO THE PATIENT'S SYMPTOMS, IT IS POSSIBLE AS ALLERGIC REACTIONS TO DENTAL MATERIALS ARE KNOWN AND REPORTED, WITH MEDICAL CONSEQUENCES BEING DEPENDENT UPON THE SEVERITY OF THE INDIVIDUAL ALLERGIC RESPONSE AND SUBSEQUENT EXPOSURE TO THE SAME MATERIAL. THEREFORE, THIS EVENT MEETS THE CRITERIA FOR REPORTABILITY PER 21 CFR PART 803. THE DEVICE IS AVAILABLE FOR EVALUATION, THOUGH HAS NOT BEEN RETURNED AS OF THIS REPORT. EVALUATION RESULTS WILL BE SUBMITTED AS THEY BECOME AVAILABLE.