FDA Adverse Event Other Summary report: N

FIXODENT DENTURE ADHESIVE, VERSION UNKNOWN (CALCIUM ZINC GANTREZ SALT 33 % CELLU

MDR report key: 1943601 · Received December 13, 2010

Report

Report Number
1530449-2010-00135
Event Type
Other
Date Received
December 13, 2010
Report Date
November 29, 2010
Manufacturer
PROCTER & GAMBLE MANUFACTURING CO.
Product Code
KOO
PMA / PMN Number
K945200
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

LOT NUMBER OR PRODUCT WAS NOT PROVIDED BY THE REPORTER, THEREFORE, UNABLE TO PROCEED WITH BATCH RETAIN TESTING OR PRODUCT INVESTIGATION.

Description of Event or Problem · 1

PROFOUND AND PERMANENT NEUROLOGICAL INJURIES ]NERVOUS SYSTEM DISORDER]. NERVE DAMAGE [NERVE INJURY].SEVERE AND PERMANENT PHYSICAL INJURIES [INJURY]. ZINC TOXICITY [METAL POISONING]. LEG WEAKNESS [MUSCULAR WEAKNESS]. DIFFICULTY WALKING THAT NECESSITATES THE USE OF A WALKER [GAIT DISTURBANCE]. CASE DESCRIPTION: AN ATTORNEY REPORTED THAT HER (B)(6) MALE CLIENT USED FIXODENT DENTURE ADHESIVE, VERSION UNK CREAM BEGINNING IN 2007 THROUGH (B)(6) 2010 AFTER USING SUPER POLIGRIP BEGINNING IN 2005 THROUGH 2007, AND REPORTED THE FOLLOWING PROFOUND AND PERMANENT NEUROLOGICAL INJURIES, NERVE DAMAGE, SEVERE AND PERMANENT PHYSICAL INJURIES, ZINC TOXICITY, LEG WEAKNESS, AND DIFFICULTY WALKING THAT NECESSITIES THE USE OF A WALKER. HEALTH CARE PROFESSIONAL WAS VISITED. TREATMENT: MEDICAL CARE AND TREATMENT AND USES A WALKER. THE CASE OUTCOME WAS NOT RECOVERED/NOT RESOLVED. NO FURTHER INFO WAS PROVIDED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 FIXODENT DENTURE ADHESIVE, VERSION UNKNOWN (CALCIUM ZINC GANTREZ SALT 33 % CELLU DENTURE ADHESIVE KOO PROCTER & GAMBLE MANUFACTURING CO.

Patients

Seq Age Sex Outcome Treatment
1 71 YR Disability