REXYLLIUM 5

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2000-05-19 for REXYLLIUM 5 manufactured by Jeneric/pentron, Inc..

Event Text Entries

[151417] Rptr has been diagnosed with polycythemia vera and is questioning whether this condition may have been caused by repeated exposure to beryllium particulates in the air over the past 30 years. The rptr is very active in the dental association and is mainly concerned that there may be a safer alloy available. The rptr finds no fault with the mfr, but feels more studies are needed on the possibility of contracting berylliosis from this type of exposure to beryllium.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report NumberMW1018948
MDR Report Key278786
Date Received2000-05-19
Date of Report2000-05-19
Date of Event2000-02-01
Date Added to Maude2000-05-24
Event Key0
Report Source CodeVoluntary report
Manufacturer LinkN
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag0
Health Professional3
Initial Report to FDA0
Report to FDA0
Event Location3
Single Use0
Previous Use Code0
Event Type3
Type of Report3

Device Details

Brand NameREXYLLIUM 5
Generic NameDENTAL ALLOY WITH 2% BERYLLIUM
Product CodeEJT
Date Received2000-05-19
Model NumberNA
Catalog NumberNA
Lot NumberNA
ID NumberNA
OperatorHEALTH PROFESSIONAL
Device AvailabilityY
Implant FlagN
Date Removed*
Device Sequence No1
Device Event Key269800
ManufacturerJENERIC/PENTRON, INC.
Manufacturer Address53 N. PLAINS INDUSTRIAL RD. PO BOX 724 WALLINGFORD CT 064920724 US


Patients

Patient NumberTreatmentOutcomeDate
10 2000-05-19

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