ONSET SODIUM BICARBONATE 8.4% STERILE PH BUFFER

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a health professional report with the FDA on 2016-11-30 for ONSET SODIUM BICARBONATE 8.4% STERILE PH BUFFER manufactured by Valeant Pharmaceuticals International.

Event Text Entries

[61140653] The product was not available for return. An assessment of the event was completed by valeant medical personnel. While this is a serious event, temporary paresthesia is a common complication of dental treatment with anesthesia and usually resolves, especially in cases such as this where there is visible resolution in a short period of time. The event is possibly related to the product. Based on available information, no causal factors can be determined and no conclusion can be drawn.
Patient Sequence No: 1, Text Type: N, H10


[61140654] Doctor reported a patient experienced numbness three days after a dental treatment. Doctor reported patient has a history of cancer and presented with a healed canker sore at the time of treatment. Patient received one infiltration of one carpule of buffered septocaine dialed to 8, in the lip and nasal area. After treatment, patient felt the anesthesia was wearing off. Patient returned three days later for additional dental treatment, and reported still having numbness in the nasal and lip area. Doctor gave patient vitamin b supplement and zinc per the advice of an oral surgeon. Doctor prescribed a medrol dose pack and the patient informed her that they did not want to continue taking it after a few pills. The doctor thinks the patient did not take the medication at all. The patient is taking naproxen (anti-inflammatory) for a different condition and wanted to take that instead of the anti-inflammatory the doctor wanted to prescribe. Doctor reported the numbness is getting smaller and patient states she is getting better. It is unknown if the patient is still taking the vitamin b supplement or zinc. Patient did not return for follow-up visit and has not contacted the office. Doctor thinks the patient may have recovered as they have not heard from her.
Patient Sequence No: 1, Text Type: D, B5


[62828852] A review of the manufacturing records concluded there were no observed abnormalities and the batch was manufactured in accordance with all specified requirements. Based on available information, no causal factors can be determined and no conclusion can be drawn.
Patient Sequence No: 1, Text Type: N, H10


MAUDE Entry Details

Report Number3009443653-2016-00040
MDR Report Key6135896
Report SourceHEALTH PROFESSIONAL
Date Received2016-11-30
Date of Report2016-10-31
Date of Event2016-10-28
Date Mfgr Received2016-11-30
Device Manufacturer Date2015-10-27
Date Added to Maude2016-11-30
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 FDA3
Event Location3
Manufacturer ContactMS. SHARON SPENCER
Manufacturer Street50 TECHNOLOGY DRIVE WEST
Manufacturer CityIRVINE CA 92618
Manufacturer CountryUS
Manufacturer Postal92618
Manufacturer Phone9493985698
Manufacturer G1ALLIANCE MEDICAL PRODUCTS, A SIEGFRIED COMPANY
Manufacturer Street9342 JERONIMO ROAD
Manufacturer CityIRVINE CA 92618
Manufacturer CountryUS
Manufacturer Postal Code92618
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameONSET SODIUM BICARBONATE 8.4% STERILE PH BUFFER
Generic NamePH BUFFER
Product CodeJCC
Date Received2016-11-30
Lot Number1543-001
ID NumberNI
Device Expiration Date2018-10-27
OperatorDENTIST
Device AvailabilityN
Device AgeDA
Device Eval'ed by MfgrR
Device Sequence No1
Device Event Key0
ManufacturerVALEANT PHARMACEUTICALS INTERNATIONAL
Manufacturer AddressROCHESTER NY 14609 US 14609


Patients

Patient NumberTreatmentOutcomeDate
101. Required No Informationntervention 2016-11-30

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