INSTA DENTURE RELINE KIT EBAY ITEM NO-111252999250

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2014-09-10 for INSTA DENTURE RELINE KIT EBAY ITEM NO-111252999250 manufactured by .

Event Text Entries

[4718219] Given that "otc" denture reliner products are regulated items, i recently purchased an "insta denture reline kit" from a seller on (b)(4). The product arrived and upon inspection i received a quantity of what i suspect are polycaprolactone (pcl) plastic pellets, which are commonly used as "hobby plastic" which softens and is pliable at 60 degrees celsius. The provided material is heated and molded to the ill-fitting denture. I suspect that the sale of this product is non-compliant with regulations regarding the certification for sale as a otc medical device was listed in "guidance for industry and fda staff-otc denture cushions, pads, reliners, repair kits, and partially fabricated denture kits". (document issued on: (b)(6) 1998), (b)(4), office of device eval) document shelf number (b)(4). I believe that sales of this product should be halted until the seller can demonstrate compliance with fda medical device regulations and requirements, most notably material safety and data sheet and product certification. Apparently this item has been sold for over a year, "out of a post office box" in (b)(4), to a (b)(4) account listed as "(b)(4)". The (b)(4) item number is (b)(4). The seller is "(b)(4)". The item is listed as "insta denture reline kit". I do not believe that commercial "hobby plastics" such as pcl sold under various tradenames (such as "instamorph", "friendly plastic", "shapelock", "polymorph", "plastimake", "protoplast", "plaast" etc. ) rise to the level of substances which are acceptable to long term storage in, and contact with, the mouth. I respectfully request that this product be evaluated for eligibility as an approved medical device, and the provider evaluated for compliance, not excluding taxation for this class of product. Respectfully, (b)(6).
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report NumberMW5038164
MDR Report Key4092899
Date Received2014-09-10
Date of Report2014-09-10
Date of Event2014-08-27
Date Added to Maude2014-09-17
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 Professional0
Initial Report to FDA3
Report to FDA0
Event Location0
Single Use0
Previous Use Code0
Event Type3
Type of Report3

Device Details

Brand NameINSTA DENTURE RELINE KIT
Generic NameDENTURE RELINE KIT
Product CodeEBI
Date Received2014-09-10
Catalog NumberEBAY ITEM NO-111252999250
Device Sequence No1
Device Event Key0


Patients

Patient NumberTreatmentOutcomeDate
10 2014-09-10

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