IRM CEMENT
Received Jul 3, 2018
Report 8010638-2018-00006 · MDR key 7659754
Device
Generic name
Cement, Dental
Manufacturer
Dentsply Detrey GmbhModel number
NACatalog number
606.61.500
Lot number
UNK
Product problems
- Patient-Device Incompatibility
- Patient-Device Incompatibility
Patient
Not reported
- Hypersensitivity/Allergic reaction
- Hypersensitivity/Allergic reaction
Narrative
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. PLEASE NOTE THAT WHILE THIS PRODUCT IS NOT SOLD IN THE US, IT IS CONSIDERED SIMILAR TO PRODUCTS THAT ARE MARKETED IN THE US BY DENTSPLY SIRONA. 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
IT WAS REPORTED THAT A PATIENT EXPERIENCED AN ALLERGIC REACTION AFTER A DENTAL PROCEDURE THAT INCLUDED THE USE OF IRM CEMENT. THE REPORTED SYMPTOMS INCLUDE INFLAMMATION OF THE DENTAL PALATE. THE PATIENT IS KNOWN TO BE SENSITIVE TO "MANY PRODUCTS."