POLIGRIP

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2010-03-30 for POLIGRIP manufactured by Glaxosmithkline.

Event Text Entries

[18489954] I used fixodent and poligrip from (b) (6) 2007 until (b) (6) 2010. I began experiencing numbness and tingling in my extremities. I received my blood work results on (b) (6) 2010 and found out my zinc level was 218, copper was normal at 96. My doctor wants to follow up with blood test and neuropathy treatment. Dose or amount: denture cream, frequency: once daily, route: oral. Dates of use: (b) (6) 2007 - (b) (6) 2010. Diagnosis or reason for use: denture adhesive cream. Event abated after use stopped: no.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report NumberMW5015353
MDR Report Key1649717
Date Received2010-03-30
Date of Report2010-03-22
Date of Event2010-01-15
Date Added to Maude2010-04-06
Event Key0
Report Source CodeVoluntary report
Manufacturer LinkN
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag0
Reporter OccupationPATIENT
Health Professional3
Initial Report to FDA3
Report to FDA0
Event Location0
Single Use0
Previous Use Code0
Event Type3
Type of Report3

Device Sequence Number: 1

Brand NamePOLIGRIP
Generic NameNONE
Product CodeKOQ
Date Received2010-03-30
Lot NumberUNK
Device Sequence No1
Device Event Key0
ManufacturerGLAXOSMITHKLINE

Device Sequence Number: 2

Brand NameFIXODENT
Generic NameNONE
Product CodeKOL
Date Received2010-03-30
Device Sequence No2
Device Event Key0
ManufacturerPROCTER & GAMBLE


Patients

Patient NumberTreatmentOutcomeDate
101. Other; 2. Deathisabilit 2010-03-30

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