FDA Adverse Event
Other
Summary report: N
MULTILINK AUTOMIX
MDR report key: 2138323
·
Received May 31, 2011
Report
- Report Number
- 9612352-2011-00006
- Event Type
- Other
- Date Received
- May 31, 2011
- Date of Event
- May 25, 2011
- Report Date
- May 27, 2011
- Manufacturer
- IVOCLAR VIVADENT AG
- Product Code
- EMA
- PMA / PMN Number
- K032470
- Removal / Correction Number
- NONE
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- GM
- Reporter Occupation
- DENTIST
Narratives
Description of Event or Problem · 1
AFTER CEMENTING RESTORATIONS WITH MULTILINK AUTOMIX, POST OPERATIVE SENSITIVITIES OCCURRED. PT REQUIRED ENDODONTIC TREATMENT. NO FURTHER INFO IS AVAILABLE.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | MULTILINK AUTOMIX | DENTAL CEMENT | EMA | IVOCLAR VIVADENT AG | 627471AN | UNKNOWN |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | Other |