inforMED
InjuryECO

AFORSUS FATIGUE RESISTANCE DEVICE SPRINT MODEL

Received Feb 16, 2009 · Event occurred Aug 29, 2008

Report 2020467-2009-00001 · MDR key 1315670

Device

Generic name

Orthodontic Spring

Manufacturer

3m Unitek

Model number

NA

Catalog number

885-100

Lot number

UNK

Product problems

  • Device, removal of (non-implant)

Patient

9 YR

  • Unspecified Infection
  • Irritation
  • Improved patient condition
  • Ulcer
  • Therapy/non-surgical treatment, additional
  • Treatment with medication(s)

Narrative

Description of Event or Problem

DUE TO IRRITATION FROM THE DEVICE, PATIENT DEVELOPED AN INTRAORAL ULCER. ORTHODONTIST PRESCRIBED SALT WATER RINSES AND AN ANTIBIOTIC (ERYTHROMYCIN) FOR THE PATIENT. THE DEVICE WAS REMOVED AND PATIENT HAS RECOVERED FROM THE INFECTION.