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