inforMED
InjuryDYJ

PALATAL ARCH

Received Dec 20, 2023 · Event occurred May 30, 2023

Report 2126683-2023-00001 · MDR key 18363745

Device

Generic name

Palatal Arch

Model number

852-543L

Catalog number

852-543L

Lot number

Q14767

Product problems

  • Insufficient Device Problem Information
  • Insufficient Device Problem Information

Patient

Unknown

  • Insufficient Information
  • Insufficient Information

Narrative

Additional Manufacturer Narrative

DEVICE RETURNED TO AMERICAN ORTHODONTICS FOR EVALUATION. PRODUCT APPEARED TO BE INTACT; IT WAS NOT BROKEN OR FRACTURED. APPEARED THAT THE PRODUCT DEFORMED/BENT BY THE USER. CANNOT CONFIRM THE PRODUCT WAS MADE BY AMERICAN ORTHODONTICS BUT CANNOT RULE OUT THIS POSSIBILITY. NO ADDITIONAL DETAIL WAS PROVIDED BY THE RESPONDENTS REGARDING THE INCIDENT, DESPITE MULTIPLE ATTEMPTS BY AMERICAN ORTHODONTICS. IT REMAINS UNCLEAR HOW THE PRODUCT WAS USED.

Description of Event or Problem

PRODUCT WAS SWALLOWED BY THE PATIENT AND HAD TO BE SURGICALLY REMOVED.