FDA Adverse Event Other Summary report: N

VARIOLINK II

MDR report key: 2026780 · Received March 21, 2011

Report

Report Number
9612352-2011-00002
Event Type
Other
Date Received
March 21, 2011
Date of Event
November 30, 2010
Report Date
February 17, 2011
Manufacturer
IVOCLAR VIVADENT AG
Product Code
EBF
PMA / PMN Number
K971372
Removal / Correction Number
NONE
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
GM
Reporter Occupation
DENTIST

Narratives

Additional Manufacturer Narrative · 1

THE DENTIST DID NOT PROVIDE ANY FURTHER WRITTEN INFO CONCERNING BATCH NUMBER, BONDING SYSTEM, TREATMENT STEPS, ETC. AND NO DEVICE ANALYSIS COULD TAKE PLACE. POSTOPERATIVE SENSITIVITIES CAN HAVE VARIOUS CAUSES: TYPE OF PREPARATION, BITE PROBLEMS BY INCORRECT ARTICULATION, INSUFFICIENT POLYMERIZATION, INADEQUATE SEALING OF THE DENTINE, INDIVIDUAL PT CHARACTERISTICS. POSTOPERATIVE SENSITIVITY CAN ALSO OCCUR AFTER LEGE ARTE TREATMENT BUT USUALLY SENSITIVITY IS GONE AFTER A FEW WEEKS. IN THIS CASE, IT IS NOT POSSIBLE TO IDENTIFY THE ROOT CAUSE OF THE PROBLEM. SEE SCANNED PAGE.

Description of Event or Problem · 1

AFTER CEMENTING RESTORATIONS WITH VARIOLINK II, POST OPERATIVE SENSITIVITIES OCCURRED. APPARENTLY, THIS RESULTED IN A LEAST ONE TOOTH BECOMING DEVITALIZED AND REQUIRING ROOT CANAL TREATMENT. NO FURTHER INFO IS AVAILABLE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 VARIOLINK II DENTAL CEMENT EBF IVOCLAR VIVADENT AG 628322 UNK

Patients

Seq Age Sex Outcome Treatment
1 Other