inforMED
InjuryDZB

FACE BOW

Received Mar 14, 2007 · Event occurred Aug 18, 2002

Report 2126683-2005-00002 · MDR key 2304440

Device

Generic name

Head Gear

Model number

300 SERIES

Catalog number

852-315

Lot number

NA

Product problems

  • Adverse Event Without Identified Device or Use Problem

Patient

12 YR

  • Visual Impairment
  • Loss of Vision

Narrative

Additional Manufacturer Narrative

BY THE ORTHODONTIST AND IMPROPER REMOVAL OF THE HEADGEAR BY THE PT ARE SIGNIFICANT FACTORS IN THIS INJURY.

Description of Event or Problem

ORTHODONTIC PT WITH OCULAR INJURY DUE TO HEADGEAR. WE ARE STILL UNAWARE OF ALL FACTS AT THIS CASE RECENTLY CAME TO LITIGATION. BLINDNESS IN ONE EYE; IMPAIRED VISION IN THE OTHER. THE HEADGEAR, SAFETY RELEASE MODULES AND HEAD STRAP NO NOT APPEAR TO BE DEFECTIVE. PRELIMINARY INFO SUGGESTS INSTRUCTIONS GIVEN.