FDA Adverse Event
Injury
Summary report: N
REXYLLIUM 5
MDR report key: 278786
·
Received May 19, 2000
Report
- Report Number
- MW1018948
- Event Type
- Injury
- Date Received
- May 19, 2000
- Date of Event
- February 1, 2000
- Report Date
- May 19, 2000
- Manufacturer
- JENERIC/PENTRON, INC.
- Product Code
- EJT
- Adverse Event
- Yes
- Product Problem
- Yes
- Report Source
- Voluntary report
- Reporter Location
- FL, US
- Reporter Occupation
- OTHER
Narratives
Description of Event or Problem · 1
RPTR HAS BEEN DIAGNOSED WITH POLYCYTHEMIA VERA AND IS QUESTIONING WHETHER THIS CONDITION MAY HAVE BEEN CAUSED BY REPEATED EXPOSURE TO BERYLLIUM PARTICULATES IN THE AIR OVER THE PAST 30 YEARS. THE RPTR IS VERY ACTIVE IN THE DENTAL ASSOCIATION AND IS MAINLY CONCERNED THAT THERE MAY BE A SAFER ALLOY AVAILABLE. THE RPTR FINDS NO FAULT WITH THE MFR, BUT FEELS MORE STUDIES ARE NEEDED ON THE POSSIBILITY OF CONTRACTING BERYLLIOSIS FROM THIS TYPE OF EXPOSURE TO BERYLLIUM.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | REXYLLIUM 5 | DENTAL ALLOY WITH 2% BERYLLIUM | EJT | JENERIC/PENTRON, INC. | NA | NA |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 53 YR |