inforMED
InjuryEMA

MAXCEM ELITE

Received Aug 22, 2018

Report 2024312-2018-00001 · MDR key 7805122

Device

Generic name

Cement

Manufacturer

Kerr Corporation

Product problems

  • Appropriate Device Problem Term/Code Not Available
  • Appropriate Device Problem Term/Code Not Available

Patient

Not reported

  • Sensitivity of Teeth
  • Sensitivity of Teeth

Narrative

Additional Manufacturer Narrative

NO PATIENT INFORMATION WAS PROVIDED IN REGARDS TO AGE, WEIGHT, ETHNICITY, AND RACE. THE DATE OF EVENT WAS REPORTED AS BEING IN THE LAST TEN MONTHS, SPECIFIC DATE NOT PROVIDED. DEVICE MANUFACTURE DATE CANNOT BE DETERMINED BECAUSE THERE WAS NOT LOT NUMBER PROVIDED. THE PRODUCT WAS NOT RETURNED AND THERE WAS NO LOT NUMBER OR PART NUMBER PROVIDED, THEREFORE NO EVALUATION CAN BE CONDUCTED.

Description of Event or Problem

A COMPLAINANT ALLEGED THAT ONE (1) PATIENT HAD TO GET A ROOT CANAL DONE AFTER MULTIPLE DEBONDINGS AND CEMENTATIONS CAUSED SENSITIVITY.

Additional Manufacturer Narrative

AWARENESS DATE WAS CORRECTED.