InjuryEBC

DELTON PIT & FISSURE SEALANT

Received Apr 7, 2006 · Event occurred Mar 10, 2006

Report 2515379-2006-00154 · MDR key 697983

Device

Generic name

Ebc

Manufacturer

Dentsply Professional

Model number

Catalog number

27961

Lot number

050217

Product problems

Unknown (for use when the device problem is not known)

Patient

UNKNOWN

Allergic reaction

Narrative

Description of Event or Problem

A PT EXPERIENCED AN ALLERGIC REACTION ON THE FACE AND BODY AFTER A PROCEDURE WAS PERFORMED USING DELTON LC. THE SYMPTOMS RESOLVED WITHIN A FEW HRS, APPARENTLY WITHOUT ANY INTERVENTION.