VOCO PROFLUORID VARNISH

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 2019-05-03 for VOCO PROFLUORID VARNISH manufactured by Voco Gmbh.

Event Text Entries

[143970331] According to our recommendations in the instructions for use, a dosage of 0. 25ml vpv is unproblematic for a complete set of teeth in children. The fluoride content of a single dose is well below the probably toxic dose of 5mg per kg body weight. According to the dentist, about half of a 0. 4 ml sd was used for the treatment. In our evaluation, fluoride poisoning can be ruled out at this dose.
Patient Sequence No: 1, Text Type: N, H10


[143970332] A dentist received a call from a parent on monday stating that their child had fluoride poisoning after having fluoride varnish applied to their teeth. The child had been seen for a prophylaxis appointment on friday. The child had nausea, severe vomiting and foot numbness that started friday and lasted over the weekend. The child was seen by the local emergency department and both the emergency department and poison control advised the parent that the child's vomiting was due to acute fluoride poisoning from fluoride varnish application.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number8010908-2019-00004
MDR Report Key8577606
Report SourceHEALTH PROFESSIONAL
Date Received2019-05-03
Date of Report2019-05-03
Date of Event2019-04-10
Date Added to Maude2019-05-03
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 ContactMR MICHAEL CYLL
Manufacturer StreetANTON-FLETTNER-STRASSE 1-3
Manufacturer CityCUXHAVEN, NIEDERSACHSEN 27472
Manufacturer CountryGM
Manufacturer Postal27472
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameVOCO PROFLUORID VARNISH
Generic NameVOCO PROFLUORID VARNISH
Product CodeLBH
Date Received2019-05-03
Device AvailabilityN
Device Eval'ed by MfgrR
Device Sequence No1
Device Event Key0
ManufacturerVOCO GMBH
Manufacturer AddressANTON-FLETTNER-STRASSE 1-3 CUXHAVEN, NIEDERSACHSEN 27472 GM 27472


Patients

Patient NumberTreatmentOutcomeDate
101. Other 2019-05-03

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