FDA Adverse Event Other Summary report: N

STRAUMANN EMDOGAIN

MDR report key: 4433297 · Received January 9, 2015

Report

Report Number
1222315-2015-00002
Event Type
Other
Date Received
January 9, 2015
Date of Event
October 7, 2014
Report Date
January 8, 2015
Manufacturer
BIORA AB
Product Code
NQA
PMA / PMN Number
P930021
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
NO
Reporter Occupation
DENTIST

Narratives

Additional Manufacturer Narrative · 1

THE REVIEW OF THE RISK MANAGEMENT REPORT "RISK MGMT REPORT - EMD PREFGEL OSTEOGAIN (B)(4) VERSION 1.0" CONFIRMS THAT INCAUTIOUS USE IN PATIENTS PRE-DISPOSED TO ALLERGIC REACTIONS IS ASSESSED AND REFLECTED IN THE IFU LABELLING 700019 STRAUMANN EMDOGAIN (US VERSION). A PREVIOUS EVALUATION BY AN ALLERGIST STATES THAT THE ALLERGY POTENTIAL OF EMDOGAIN IS VERY LOW. THE MANUFACTURER REVIEWED MANUFACTURING BATCH RECORDS FOR BOTH 075.114 LOT GP625 (BOTH EMDOGAIN AND PREFGEL) AND CONFIRMS THAT THE PRODUCT WAS RELEASED ACCORDING TO SPECIFICATION.

Description of Event or Problem · 1

CLINICIAN REPORTS LACK OF WOUND HEALING AFTER A PERIODONTAL SURGERY TO TREAT AN INTRAOSSEOUS/FURCATION DEFECT WHICH WAS PERFORMED ON (B)(6) 2014. TREATMENT SITE: FDI #21 - MP INTRABONY DEFECT (5 MM INTRABONY COMPONENT). SURGICAL TECHNIQUE WAS MINIMALLY INVASIVE. ON (B)(6) 2014 POST-OP SYMPTOMS INCLUDED SEVERE PAIN AND DISCOMFORT WITH SIGNS AS SEVERE SWELLING AND NECROSIS. THE CLINICIAN SUSPECTS AN ALLERGIC REACTION TO THE PRODUCT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
23576 STRAUMANN EMDOGAIN BIOLOGIC MATERIAL, DENTAL NQA BIORA AB GP625

Patients

Seq Age Sex Outcome Treatment
1 46 YR Other PREFGEL