BEUDAMED
    FDA Adverse Event Injury Summary report: N

    CAVITRON JET FRESH, MINT

    MDR report key: 480597 · Received August 29, 2003

    Report

    Report Number
    2424472-2003-00104
    Event Type
    Injury
    Date Received
    August 29, 2003
    Date of Event
    July 29, 2003
    Report Date
    July 31, 2003
    Manufacturer
    DENTSPLY PROFESSIONAL
    Product Code
    EJR
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    GM
    Reporter Occupation
    DENTIST

    Narratives

    Description of Event or Problem · 1

    A MEDICAL ASSISTANT EXPERIENCED AN ALLERGIC REACTION, WHEN THE MATERIAL THEY WERE WORKING WITH CAME INTO CONTACT WITH THEIR EYES DURING A DENTAL PROCEDURE. THE REACTION WAS TREATED WITH ANTIBIOTICS.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 CAVITRON JET FRESH, MINT CLEANING POWDER EJR DENTSPLY PROFESSIONAL NA 030424

    Patients

    Seq Age Sex Outcome Treatment
    1 UNKNOWN Required Intervention