BEUDAMED
    FDA Adverse Event Injury Summary report: N

    SUPER POLY-GRIP DENTURE CREAM

    MDR report key: 1953714 · Received January 5, 2011

    Report

    Report Number
    MW5018896
    Event Type
    Injury
    Date Received
    January 5, 2011
    Product Code
    KOO
    Adverse Event
    Yes
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Occupation
    PATIENT

    Narratives

    Description of Event or Problem · 1

    A CONTINUOUS TINGLING IN LEFT HAND OF FIRST (3) FINGERS FROM LEFT TO RIGHT, AND A CONTINUOUS NUMBNESS IN SAME FINGERS, ALSO SHARP SHOOTING PAIN TO SAME FINGERS. FREQUENCY: #1 AND #2 - TWICE (2) DAILY. ROUTE: #1 AND #2 - ORAL. DATES OF USE: #1 AND #2 - (B)(6) 1977 - PRESENT. DIAGNOSIS OR REASON FOR USE: SECURE DENTURES.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 SUPER POLY-GRIP DENTURE CREAM NONE KOO
    2 FIXODENT DENTURE CREAM NONE KOO

    Patients

    Seq Age Sex Outcome Treatment
    1 53 YR Other| S