FDA Adverse Event Other Summary report: N

FIXODENT DENTURE ADHESIVE, VERSION UNKNOWN (CALCIUM ZINC GANTREZ SALT 33%, CELLU

MDR report key: 2844968 · Received November 14, 2012

Report

Report Number
1530449-2012-00079
Event Type
Other
Date Received
November 14, 2012
Report Date
November 5, 2012
Manufacturer
PROCTER & GAMBLE MANUFACTURING CO.
Product Code
KOO
PMA / PMN Number
K945200
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

LOT NUMBER OR PRODUCT WAS NOT PROVIDED BY THE REPORTER; THEREFORE, UNABLE TO PROCEED WITH BATCH RETAIN TESTING OR PRODUCT INVESTIGATION.

Description of Event or Problem · 1

PROFOUND AND PERMANENT NEUROLOGICAL INJURIES [NERVOUS SYSTEM DISORDER]. SEVERE AND PERMANENT PHYSICAL INJURIES [INJURY]. ATTRIBUTED TO EXCESS ZINC [HYPERZINCAEMIA]. RESULTING IN COPPER DEPLETION [COPPER DEFICIENCY]. ZINC POISONING [METAL POISONING]. CASE DESCRIPTION: AN ATTORNEY REPORTED THAT THEIR CURRENTLY (B)(6), FEMALE CLIENT, USED FIXODENT DENTURE ADHESIVE, VERSION UNKNOWN CREAM FOR HER DENTURES BEGINNING IN 1996 AND REPORTED THE FOLLOWING: PROFOUND AND PERMANENT NEUROLOGICAL INJURIES, SEVERE AND PERMANENT PHYSICAL INJURIES ATTRIBUTED TO EXCESS ZINC RESULTING IN COPPER DEPLETION AND ZINC POISONING LEAVING HER UNABLE TO PERFORM NORMAL, CUSTOMARY, AND DAILY ACTIVITIES. HEALTH CARE PROFESSIONAL WAS VISITED. TREATMENT: UNSPECIFIED MEDICAL CARE AND TREATMENT. THE CASE OUTCOME WAS NOT RECOVERED/NOT RESOLVED. SHE DISCONTINUED USE OF THE PRODUCT. PAST MEDICAL HISTORY INCLUDED: MEDICAL HISTORY - DENTURE WEARER (APPROXIMATELY 16 YEARS AGO). NO FURTHER INFORMATION WAS PROVIDED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 FIXODENT DENTURE ADHESIVE, VERSION UNKNOWN (CALCIUM ZINC GANTREZ SALT 33%, CELLU DENTURE ADHESIVE KOO PROCTER & GAMBLE MANUFACTURING CO.

Patients

Seq Age Sex Outcome Treatment
1 Disability