inforMED
InjuryBRW

SUNMED

Received Sep 1, 2021 · Event occurred Aug 2, 2021

Report 1314417-2021-00012 · MDR key 12410355

Device

Generic name

Tooth Protector,

Model number

9-3041-03

Lot number

UNKNOWN

Product problems

  • Adverse Event Without Identified Device or Use Problem

Patient

Not reported

  • Tooth Fracture
  • Tooth Fracture

Narrative

Additional Manufacturer Narrative

THE CUSTOMER IS MISUSING THIS ITEM. IT'S NOT INTENDED TO BE USED TO PREVENT BITING OR DAMAGE FROM A BITE. THE INTENT IS TO AID IN PROTECTING TEETH FROM EXTERNAL FORCES APPLIED DURING INTUBATION. THERE ARE NO CCS ISSUED FOR THIS DEFECT WITHIN THE LAST 2 YEARS, THE LAST AND ONLY INCIDENT IS FROM 2016. RA: THERE IS NO RMA FOR THIS PRODUCT, ONE HAS BEEN REQUESTED FROM THE REGULATORY GROUP.

Description of Event or Problem

CUSTOMER ALLEGES THAT AN "THAT WHILE USING THE MOUTH GUARD A TOOTH WAS CHIPPED."

Additional Manufacturer Narrative

A FOLLOW-UP MDR WILL BE SUBMITTED ONCE THE INVESTIGATION IS COMPLETE.

Description of Event or Problem

CUSTOMER ALLEGES THAT AN "THAT WHILE USING THE MOUTH GUARD A TOOTH WAS CHIPPED."