FDA Adverse Event
Malfunction
Summary report: N
TYTIN REGULAR SET SPHERICAL SILVER AMALGAM
MDR report key: 137146
·
Received August 14, 1997
Report
- Report Number
- MW4002076
- Event Type
- Malfunction
- Date Received
- August 14, 1997
- Report Date
- August 4, 1997
- Manufacturer
- KERR CORP.
- Product Code
- DZS
- Product Problem
- Yes
- Report Source
- Voluntary report
- Reporter Location
- AR, US
- Reporter Occupation
- OTHER
Narratives
Description of Event or Problem · 1
CAPSULES ARE DISPENSING MERCURY DURING MIXING PROCEDURES, RECALLED ALL TYTIN AMALGAM FROM DENTAL TREATMENT ROOMS. DATE MANUFACTURED 03/97.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | TYTIN REGULAR SET SPHERICAL SILVER AMALGAM | SILVER AMALGAM CAPSULE | DZS | KERR CORP. | * | 72055 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA |