ARTGLASS *

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2001-04-27 for ARTGLASS * manufactured by Kulzer.

Event Text Entries

[206693] Add'l info rec'd from mfr 7/3/01: mfr notes that the description is incorrect in that artglass is not a "porcelain crown". It is mfr's determination from the info available that the matter described is not reportable. Mfr fully and completely supports their products and is always interested in knowing about anyone encountering any difficulties using artglass materials. If mfr had been made aware of dr's concerns and had been provided with detailed info, mfr would have been able to assist them in using the materials in the prescribed manner.
Patient Sequence No: 1, Text Type: D, B5


[21960003] This crown material fractures. It does not hold up to forces (normal) applied to teeth. Fractured "porcelain" crowns results in: 1. Danger to pt health as they may swallow parts and/or break other theeth. 2. Medical retreatment of crown subjects pt to the normal risks associated with dental treatment.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report NumberMW1021767
MDR Report Key330422
Date Received2001-04-27
Date Added to Maude2001-05-08
Event Key0
Report Source CodeVoluntary report
Manufacturer LinkN
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag0
Reporter OccupationDENTIST
Health Professional3
Initial Report to FDA0
Report to FDA0
Event Location3
Single Use0
Previous Use Code0
Event Type3
Type of Report3

Device Details

Brand NameARTGLASS
Generic NameDENTAL CROWN
Product CodeELZ
Date Received2001-04-27
Model Number*
Catalog Number*
Lot Number*
ID Number*
OperatorHEALTH PROFESSIONAL
Device Availability*
Implant FlagN
Date Removed*
Device Sequence No1
Device Event Key319782
ManufacturerKULZER
Manufacturer Address99 BUSINESS PARK DR ARMONK NY 10504 US


Patients

Patient NumberTreatmentOutcomeDate
10 2001-04-27

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