BEUDAMED
    FDA Adverse Event Other Summary report: N

    SUPER POLIGRIP/SUPER POLIGRIP ORIGINAL

    MDR report key: 2222583 · Received August 16, 2011

    Report

    Report Number
    9681138-2011-00195
    Event Type
    Other
    Date Received
    August 16, 2011
    Report Date
    August 15, 2011
    Manufacturer
    GLAXOSMITHKLINE
    Product Code
    KOL
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    PA, US
    Reporter Occupation
    NOT APPLICABLE

    Narratives

    Additional Manufacturer Narrative · 1

    SUPER POLIGRIP IS MANUFACTURED IN (B)(4), AND NEITHER THE PRODUCT NOR LOT NUMBER FOR THIS PRODUCT WAS AVAILABLE. (B)(4).

    Description of Event or Problem · 1

    THIS CASE WAS REPORTED BY A LAWYER AND DESCRIBED THE OCCURRENCE OF NEUROPATHY IN A PT WHO USED SUPER POLIGRIP AS A DENTURE ADHESIVE. A PHYSICIAN OR OTHER HEALTH CARE PROFESSIONAL HAS NOT VERIFIED THIS REPORT. CO-SUSPECT MEDICATION INCLUDED SUPER POLIGRIP ORIGINAL DENTURE ADHESIVE CREAM. IN 1978, THE PT USED SUPER POLIGRIP AT UNKNOWN DOSING. AT AN UNK TIME AFTER USING SUPER POLIGRIP, THE PT EXPERIENCED NEUROPATHY, MYELOPATHY, PARALYSIS, KIDNEY FAILURE, LIVER FAILURE, BONE MARROW DISORDER, ANEMIA, ZINC TOXICITY, HYPOCUPREMIA, NEUROLOGICAL DISORDER, AND NERVE DAMAGE. TREATMENT WITH SUPER POLIGRIP WAS DISCONTINUED. AT THE TIME OF REPORTING, THE EVENTS WERE UNRESOLVED. ACCORDING TO THE LEGAL COMPLAINT, THE PT EXPERIENCED ONE OR MORE OF THE FOLLOWING: NEUROPATHY, MYELOPATHY, HYPERZINCURIA, ZINC TOXICITY, EXTENSIVE NERVE DAMAGE, HYPOCUPREMIA, NUMBNESS, SEVERE PAIN, TINGLING, TREMORS, CRAMPS, MUSCLE TWITCH, PARALYSIS, INABILITY TO WALK, LOSS OF BALANCE, LOSS OF USE OF UPPER AND/OR LOWER EXTREMITIES, DIFFICULTY BREATHING, KIDNEY FAILURE, LIVER FAILURE, BONE MARROW DEPLETION, ABDOMINAL PAIN, NAUSEA, VOMITING, ANEMIA, LETHARGY, AND OTHER NEUROLOGICAL DISORDERS. THE PT "SUFFERED, AND CONTINUES TO SUFFER FROM SEVERE MENTAL AND EMOTIONAL INJURIES, INCLUDING BUT NOT LIMITED TO, SEVERE EMOTIONAL DISTRESS, DEPRESSION, ANXIETY, WORRY AND ANGUISH." THE PT "SUFFERED SEVERE AND PERMANENT PHYSICAL INJURIES, INCLUDING, BUT NOT LIMITED TO PROFOUND AND PERMANENT NEUROLOGICAL INJURIES." IT WAS FURTHER REPORTED THE PT'S "INJURIES AND DAMAGES ARE PERMANENT AND WILL CONTINUE INTO THE FUTURE."

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 SUPER POLIGRIP/SUPER POLIGRIP ORIGINAL GSK DENTURE ADHESIVES KOL GLAXOSMITHKLINE NA

    Patients

    Seq Age Sex Outcome Treatment
    1 Disability