inforMED
InjuryJAY

BITE PROOF BITE BLOCK; UNIVERSAL BITE BLOCK

Received Jul 12, 2024

Report MW5157275 · MDR key 19744360

Device

Generic name

Support, Breathing Tube

Model number

11160

Patient

NA · Female

  • Tooth Fracture
  • Tooth Fracture

Narrative

Description of Event or Problem

"PATIENT WAS FOUND TO HAVE A PIECE OF TOOTH IN HER MOUTH. UNIVERSAL BITEBLOCK WAS USED FOR INTUBATION. PIECE OF TOOTH CAME FROM AND POINTS TO LEFT UPPER INCISOR WHICH IS PART OF A PERMANENT BRIDGE." DISCLAIMER STATEMENT: THIS REPORT REFLECTS INFORMATION RECEIVED BY FDA IN THE FORM OF A NOTIFICATION PER 803.22 (B)(2).