FDA Adverse Event
Malfunction
Summary report: N
3M RELYX
MDR report key: 8731317
·
Received June 24, 2019
Report
- Report Number
- MW5087591
- Event Type
- Malfunction
- Date Received
- June 24, 2019
- Date of Event
- March 10, 2009
- Report Date
- June 20, 2019
- Manufacturer
- 3M ESPE DENTAL PRODUCTS
- Product Code
- EMA
- Product Problem
- Yes
- Report Source
- Voluntary report
- Reporter Location
- US
- Reporter Occupation
- NO INFORMATION
Narratives
Description of Event or Problem · 1
EVERY TIME I PURCHASE A DENTAL PRODUCT FROM THIS COMPANY, IT'S NEVER THE SAME QUALITY OR CONSISTENCY AS WHAT I RECEIVE FROM DARBY OR HENRY SCHEIN. I SERIOUSLY FEEL LIKE THIS COMPANY IS SELLING COUNTERFEIT OR DAMAGED ITEMS TO THEIR CUSTOMERS. PRODUCT TYPE: OTC. DID THE PROBLEM STOP AFTER THE PERSON REDUCED THE DOSE OR STOPPED TAKING OR USING THE PRODUCT? YES. DID THE PROBLEM RETURN IF THE PERSON STARTED TAKING OR USING THE PRODUCT AGAIN? YES. FREQUENCY: OTHER - DENTAL ITEM. HOW WAS IT TAKEN OR USED? TOPICALLY. REASON FOR USE: ORAL EXAM.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 523237 | 3M RELYX | CEMENT, DENTAL | EMA | 3M ESPE DENTAL PRODUCTS |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |