EMDOGAIN 075.101

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a 05 report with the FDA on 2010-12-13 for EMDOGAIN 075.101 manufactured by Biora Ab.

Event Text Entries

[1765181] Immediately after surgery with emdogain and prefgel, when making the suture, the right part of the pt's face swelled from eye down to throat. Pt got an injection by the general doctor and now everything is ok. The face is not swollen anymore and the pt is well. It is not known which other products were used in conjunction with this surgery, e. G local anesthesia, which more often than emdogain triggers allergic reactions. Possibly, a similar product that was used 50 years ago and then caused the swelling, also caused it now.
Patient Sequence No: 1, Text Type: D, B5


[8867048] Manufacturer reviewed manufacturing batch records and no discrepancies were found. An allergy test is being conducted and the manufacturer expects to be made aware of the results.
Patient Sequence No: 1, Text Type: N, H10


MAUDE Entry Details

Report Number1222315-2010-00020
MDR Report Key1943608
Report Source05
Date Received2010-12-13
Date of Report2010-12-10
Date Mfgr Received2010-11-11
Date Added to Maude2012-03-15
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Reporter OccupationDENTIST
Health Professional3
Initial Report to FDA3
Report to FDA0
Event Location0
Manufacturer ContactBERNIE MCDONALD
Manufacturer Street60 MINUTEMAN RD.
Manufacturer CityANDOVER MA 01810
Manufacturer CountryUS
Manufacturer Postal01810
Manufacturer Phone9787472514
Manufacturer G1BIORA, AB
Manufacturer StreetMEDEON SCIENCE PARK
Manufacturer CityMALMO
Manufacturer CountrySW
Single Use0
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameEMDOGAIN
Generic NameBIOLOGIC MATERIAL, DENTAL
Product CodeNQA
Date Received2010-12-13
Catalog Number075.101
Lot NumberZ3144
Device Expiration Date2012-04-30
OperatorHEALTH PROFESSIONAL
Device AvailabilityN
Device AgeDA
Device Eval'ed by MfgrR
Device Sequence No1
Device Event Key0
ManufacturerBIORA AB
Manufacturer AddressMALMO SW


Patients

Patient NumberTreatmentOutcomeDate
101. Other 2010-12-13

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